Hospice palliative care symptom guidelines
These guidelines are one of many resources available to health care professionals in Fraser Health to improve health care outcomes in hospice palliative/end-of-life care. These guidelines provide recommendations based on scientific evidence and expert clinical opinion. They provide practical and easy to follow advice to health care providers for effective patient care.
The guidelines are not an all inclusive list of symptom guidelines. Rather, they are intended to be a convenient resource for some of the more common symptoms experienced by adult patients (19 years of age and over) and their families who are living with advanced life threatening illness. As they are symptom guidelines only, they do not replace individual patient and family assessment and/or clinical judgment within the scope of professional practice.
As these Hospice Palliative Care Symptom Guidelines are a work in progress and as evidence changes, we encourage providers to be aware of this. We welcome and appreciate feedback.
Hospice Palliative Care Symptom Guidelines
- The Authors (revised January 2016)
- Symptom Assessment Acronym "OPQRSTUV"
- Amyotrophic Lateral Sclerosis (ALS)
- Bleeding See Exsanguination
- Bowel Care
- Delirium / Restlessness
- Dyspnea (English and Punjabi - Appendix B)
- Malignant Bowel Obstruction
- Nausea and Vomiting
- Nutrition and Cachexia
- Pain Management Principles at the End of Life (under development)
- Opioid Principles (Fentanyl Transdermal revised January 2016)
- Psychosocial Care
- Refractory Symptoms and Palliative Sedation Therapy
- Spinal Cord Compression
- Spiritual Care (under development)
- Terminal Secretions / Congestion
- Twitching / Myoclonus / Seizures
- Weakness -- See Fatigue