Community palliative care
Primary care plays a vital role working with community services to provide essential palliative and end of life care in the community and care homes. We expect the demand for community primary care for end of life patients to increase in response to the coronavirus pandemic and appreciate that this can present challenges. Where possible, video conferencing should be used due to isolation.
Primary care should work with their local specialist palliative care teams to provide this care and use local clinical guidelines. Specialist palliative care can also advise on:
- Alternative routes of medication administration e.g. non-oral, non-subcutaneous; to provide symptom control (due to limited visiting by professionals)
- Carer administration of medication
St Josephs and St Francis Hospices have produced two documents to help clinicians who are supporting people to die at home:
- Anticipatory injectable prescribing guidance for the community
- Symptom control in the last days of life during COVID-19 pandemic
There are a range of useful leaflets and patient information videos which you can use to support your patients.