Getting anticipatory prescribing right in end-of-life care

There is a growing number of people who need access to high-quality endof-life care in the home setting. This requires timely assessments of needs, ensuring good symptom management and recognising the roles undertaken by carers. For some patients, a range of medications may need to be put in place t...

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Bibliographic Details
Published inBritish journal of community nursing Vol. 24; no. 6; p. 274
Main Authors Bowers, Ben, While, Alison
Format Journal Article
LanguageEnglish
Published England 02.06.2019
Subjects
After-Hours Care
Community Health Nursing - methods
Community Health Nursing - organization & administration
Health Services Accessibility
Humans
Nausea - drug therapy
Pain - drug therapy
Pain Management
Palliative Care
Practice Patterns, Nurses
Psychomotor Agitation - drug therapy
State Medicine
Terminal Care - methods
Terminal Care - organization & administration
United Kingdom
Vomiting - drug therapy
United Kingdom
Anticipatory prescribing
Dying at home
End-of-life care
End-of-life symptom management
District nursing
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Summary:There is a growing number of people who need access to high-quality endof-life care in the home setting. This requires timely assessments of needs, ensuring good symptom management and recognising the roles undertaken by carers. For some patients, a range of medications may need to be put in place to relieve end-of-life symptoms, using 'anticipatory prescribing'. District nurses must ensure that they acknowledge the patient's voiced preferences and be mindful of the safety issues that arise with the supply of controlled drugs in the home. This article highlights the challenges faced by district nurses providing or dealing with anticipatory prescribing during end-of-life care.
ISSN:1462-4753
DOI:10.12968/bjcn.2019.24.6.274