Palliative care is a core part of the role of a GP. It can and should begin as early as possible in a patient’s course of illness, but as GPs we may individually become involved at a variety of points without necessarily having had the opportunity to build a prior relationship with a patient. This can be challenging, particularly if seeing a patient for the first time when they are in the last days of life. This article aims to explore the different points at which palliative care may begin and summarise new guidance that may inform management.
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References
1.
British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. (2007). Decisions relating to cardiopulmonary resuscitation. Retrieved from www.resus.org.uk/pages/dnar.pdf.
Lynn, J., & Adamson, D. M. (2003). Living well at the end of life adapting health care to serious chronic illness in old age. Retrieved from www.rand.org.
6.
MurrayS. A.KendallM.BoydK.SheikhA. (2005) Illness trajectories and palliative care. British Medical Journal330: 1007–1011. doi: 10.1136/bmj.330.7498.1007.
NHS England. (2014). Avoiding unplanned admissions enhanced service: Proactive case finding and care review for vulnerable people guidance and audit requirements. Retrieved from www.england.nhs.uk/ourwork/commissioning/gp-contract/.
Omega: The National Association for End-of-life Care. (2009). End of life care in primary care- 2009 national snapshot. Retrieved from www.goldstandardsframework.org.uk/library-4.
SaundersonE. M.RisdaleL. (1999) General practitioners’ beliefs and attitudes about how to respond to death and bereavement: Qualitative study. British Medical Journal319: 293–296. doi: 10.1136/bmj.319.7205.293.
17.
TemelJ. S.GreerJ. A.MuzikanskyA.GallagherE. R.AdmaneS.JacksonV. A.LynchT. J. (2010) Early palliative care for patients with metastatic non–small-cell lung cancer. New England Journal of Medicine363: 733–742. doi: 10.1056/NEJMoa1000678.