Paliative Care Flashcards
what is the treatment for Mild pain (step 1)
paracetemol 1g 4x daily
what is the treatment for moderate pain (step 2)?
codeine 30-60mg 4x daily
what is the treatment for severe pain (step 3)?
stp codeine switch to strong opiod- usually morphine
once established on morphine can it be stopped in pateints?
no- they will opiod tolerant so will experienc withdrawal if stopped suddenly
what is used to reverse the effects of morphine quickly?
naloxone
what are the two preparations of morphine?
modified release morphone
immediate release morphine
why do we need different preparations of morphine?
people can have background pain but also have ‘breakthrough’ pain or flares
what are the immediate release morphin erpearations available?
tablet- sevredol
liquid- oramorph
what are the steps in starting a patient on morphine?
stop codeine
immediate release
titrate up background
what is ACP?
Advanced Care Planning
patients with palliative care needs will have a KIS. what is this?
Key Information Summary: resus wishes, preferred place of care/death, POA
who should eb notified if teh KIS changes?
GP
