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References
1.
Armstrong
M
Kupeli
N
Flemming
K
, et al . (2020 ) Complementary therapy in palliative care: A synthesis of qualitative and quantitative systematic reviews . Palliative Medicine , 34 (10 ): 1332 –1339 . DOI: 10.1177/0269216320942450
2.BMJ (2005 ) Dame Cicely Saunders . BMJ , 331 :238 . DOI: 10.1136/bmj.331.7510.238
3.
Colvin
L
Forbes
K
Fallon
M
(2006 ) Difficult pain . BMJ , 332 (7549 ): 1081 –1083 . DOI: 10.1136/bmj.332.7549.1081
4.Coxib and traditional NSAID Trialists’ (CNT) Collaboration (2013 ) Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials . Lancet , 382 (9894 ): 769 –779 . DOI: 10.1016/S0140-6736(13)60900-9
5.
Crush
J
Levy
N
Knagss
RD
Lobo
DN
(2022 ) Misappropriation of the 1986 WHO analgesic ladder: the pitfalls of labelling opioids as weak or strong . British Journal of Anaesthesia , 129 (2 ): 137 –142 . DOI: 10.1016/j.bja.2022.03.004
6.NICE (2025 ) Clinical knowledge summary. Palliative cancer care – pain: strong opioids . Available at: https://cks.nice.org.uk/topics/palliative-cancer-care-pain/prescribing-information/strong-opioids (accessed 18 July 202 5).
7.NHS England (2025 ). Opioid prescribing for chronic pain . Available at: www.england.nhs.uk/south/info-professional/safe-use-of-controlled-drugs/opioids (accessed 5 March 2025 ).
8.
Ong
CK
Forbes
D
(2005 ) Embracing Cicely Saunders’s concept of total pain . BMJ , 331 (7516 ): 576 . DOI: 10.1136/bmj.331.7516.576-d
9.RCGP (2025 ) Life stages topic guides: people at the end of life . Available at: www.rcgp.org.uk/mrcgp-exams/gp-curriculum/people-end-life (accessed 15 September 2025 )
10.Royal College of Psychiatrists (2005 ) A guide to the assessment of spiritual concerns in mental healthcare . Available at: www.rcpsych.ac.uk/docs/default-source/mental-health/treatments-and-wellbeing/spirituality-and-mental-health/spirituality-and-mental-health-a-guide-to-the-assessment-of-spiritual-concerns-in-mental-healthcare.pdf?sfvrsn=2a344130_2 (accessed 16 September 2025 ).
11.
Schofield
P
(2018 ) The Assessment of Pain in Older People: UK National Guidelines . Age and Ageing , 47 (1 ): i1– i22. DOI: 10.1093/ageing/afx192
12.
Simon
C
(2008 ) Pain control in palliative care . InnovAiT , 1 (4 ): 257 –266 . DOI: 10.1093/innovait/inn034
13.
Watson
M
War
S
Vallath
N
, et al . (2019 ) Oxford Handbook of Palliative Care , 3rd edn. Oxford : Oxford University Press .
14.World Health Organization (1996 ) Cancer pain relief: with a guide to opioid availability, 2nd edn . Available at: https://iris.who.int/bitstream/handle/10665/37896/9241544821.pdf (accessed 16 September 2025 ).
15.
Wilcock
A
Howard
P
Charlesworth
S
(2022 ). Palliative Care Formulary , 8th edn. London : Pharmaceutical Press .