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End of life care
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Elements once end of life care established: * Palliative care, social work, pastoral care/external religious entity * Priority symptom control ** Analgaesia - morphine 5mg q1h subcut PRN ** Anti-emetics - metoclopramide, haloperidol, cyclizine ** Agitation - midazolam 5mg q1h subcut PRN ** Secretions - glycopyrronium 400microg subcut q4h PRN * Syringe drive if 3 or breakthrough doses required in 24 hours * Discontinue regular medications, vital signs, oxygen, antibiotics, blood tests, artificial hydration or nutrition, deactivate implantable defibrillator * Family meeting * Single room * Consideration of NGT/IDC * Mouth cares * Establish whether coroner's case and inform family * Check if patient is a potential organ donor * Inform GP * Update goals of care * Remove canula [[Category:Palliative care]]
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