September 26, 2023
We are very proud of our Hospice at Home team who have been recognised nationally for demonstrating best practice in palliative care as reported in the case study below.
Pharmacy name and address | Phone Number | 100 hour pharmacy | Locality |
Asda Pharmacy St Pauls Road, Bournemouth,BH8 8DL | 01202 298900 | Yes | Bournemouth East |
Castle Lane Pharmacy | 01202 772110 | Yes | Bournemouth West |
Ferndown Pharmacy | 01202 892666 | Yes | East Dorset |
Tesco Extra Pharmacy | 01202 457447 or 01202 367447 | Yes | Parkstone |
Asda Pharmacy | 01202 207000 | Yes | Poole Central |
Equipment – www.redcross.org.uk Is useful for wheelchairs and other equipment
Guide for people nearing end stage of life : https://intranet.rbch.nhs.uk/uploads/palliative/documents/What-to-Expect.pdf
Morphine sulphate 2.5-5mg SC PRN (10mg in 1ml injection)
(alternative if taking PO or eGFR<30 – Oxycodone 1 – 2.5mg SC PRN (10mg in 1ml injection))
[Please take background opioid into account when prescribing doses for anticipatories]
Midazolam 2.5-5mg SC PRN (10mg in 2ml injection)
Glycopyrronium 200mcg SC PRN (600mcg in 3ml injection)
(alternative for secretions: Hyoscine Butylbromide 20mg/ml injection)
Levomepromazine 6.25mg SC PRN (25mg in 1ml injection)
(alternative for nausea: Haloperidol 1.5mg SC PRN (5mg in 1ml injection)
Water for injection
Dexamethasone 3.3mg SC OD-BD (equivalent to 4mg PO) if risk of steroid withdrawal/Addisons during terminal phase.
| Day/Time | Example Timetable |
|---|---|
|
Monday - AM |
9am MMU Ward Hand over; 9:30am Tour of MMU 10m Consultant Ward Round, MMU |
|
Monday - PM |
12pm Ward Nurses - syringe driver administration (treatment room) 1:30 Nursing Handover – MMU (ward office) MMU – Admission Assessment(s) with ward doctor |
|
Tuesday - AM |
9am Ward Hand over 9:20am Referrals Meeting on MMU 10am Community visiting with Specialist Nurse |
|
Tuesday - PM |
12:30 Journal Club – MMU (doctors office) 2pm Introduction to Patient and Family Support Team 3pm Introduction to Welfare and benefits Advisor |
|
Wednesday - AM |
9am Ward Hand over 9:20am Referrals Meeting on MMU 10am Consultant ward round - MMU |
|
Wednesday - PM |
2pm Doctor/Nurse Home Visit with Specialty Doctor |
|
Thursday - AM |
9:15am Multi-Disciplinary Team Meeting on MMU |
|
Thursday - PM |
2pm Introduction to Palliative Rehabilitation with Physiotherapist 3pm Introduction to Complex Discharge Planning in terminal illness |
|
Friday - AM |
Hospital Palliative Care Team Ward Visits |
|
Friday - PM |
2pm Introduction to Personalised Care Plan for the Last Days of Life with End of Life Care Nurse 4pm Debrief / sign off |
