HNY Policy and Pathway Repository - York

Palliative care:

• Provides relief from pain and other distressing symptoms
• Affirms life and regards dying as a normal process
• Intends neither to hasten or postpone death
• Integrates the psychological and spiritual aspects of patient care
• Offers a support system to help patients live as actively as possible until death
• Offers a support system to help the family cope during the patient’s illness and in their own bereavement
• Uses a team approach to address the needs of patients and their families
• Will enhance quality of life, and may also positively influence the course of illness
• Is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications.

None provided

Prescribing

• North Yorkshire and York Palliative Care Formulary (Chapter 16)
  • Methadone Pathway Poster
  • Steroid Prescribing in Palliative Care 
• Nausea and Vomiting
  • North Yorkshire and York formulary page for nausea and vomiting

York Teaching Hospital NHS Foundation Trust - Palliative Care referral guidance

 

Referral forms

• York Community Specialist Palliative Care Team referral form
  • York Community Palliative Care Team
    Nelsons Court, 1A Nelsons Lane, YO24 1HD
    01904 777770
    Working hours: 7 days per week, 8.30am - 4.30pm
• St Leonard's Hospice referral information
• Saint Catherine's referral information

ReSPECT

• ReSPECT | Resuscitation Council UK
  • ReSPECT for healthcare professionals | Resuscitation Council UK
  • ReSPECT for patients and carers | Resuscitation Council UK

Electronic Palliative Care Co-ordination System (EPaCCS)

• Background information
• Information leaflet

Advance care planning

• Advance Care Planning: thinking ahead - my wishes form and guidance for patients, families and carers
• Advance Care Planning document can be found on the Y&S Trust intranet (for those with access)

Diabetes

• Diabetes Care in Last Days of Life - Management Algorithm

Trust resources

• Bereavement documents
• Specialist Palliative Care Referral and Discharge Criteria
• Specialist Palliative Care Services in York and Scarborough
• Syringe Drivers Information for patients, relatives and carers
• Unlicensed medicines
• What happens when my heart stops?
• When someone may be dying (information for relatives and friends)

Useful links

• Palliative Care Matters
• Scottish Palliative Care Guidelines (note some areas of prescribing local practice may differ)
• Palliative care matters syringe driver compatibility checker - UK Medicines Information recommended resource
• St Leonards Hospice
• Saint Catherine's Hospice and Community Care
• York Against Cancer
• York Teaching Hospital NHS Foundation Trust:
  • Palliative Care referral information
  • Palliative Care symptom control guidelines and formulary information

• York and Scarborough Teaching Hospitals