Symptom Management.
External Guidelines
-
The ‘Evidence based clinical guidelines for adults in the terminal phase’ flipbook resource provides five evidence-based protocols for palliative care:
1. Dyspnoea (Community and Inpatient)
2. Nausea and Vomiting
3. Pain
4. Respiratory Tract Secretions
5. Terminal Restlessness/Agitation
Click here to download the flipbook.
CPG Guidelines
-
Breathlessness Guidelines and Flowchart is used to assist in the assessment and management of difficult or uncomfortable breathing.
Click here to download these guidelines.
-
The Clinical Care Guidelines were developed by Banksia Palliative Care and modified for use in Gippsland.
Click here to download these guidelines.
-
The Opioid Conversion Guidelines outline Equianalgesic dose conversions, which are necessary when changing opioid drug therapy in the clinical setting.
Click here to download these guidelines.
-
In patients with oxygen saturation at rest of ≤ 90%, a therapeutic trial of oxygen therapy may be reasonable but continued use can only be justified if there is a therapeutic benefit.
Click here to download these guidelines.
-
A palliative care emergency is a sudden and life-threatening clinical change in a patient with a life-limiting illness. It requires timely identification, rapid assessment and prompt management to ensure, where possible, rapid reversal of symptoms to promote the preservation of quality of life.
Click here to download these guidelines.
-
The Recommendations for the Care of Patients with Malignant Fungating Wounds document supports best practice among nurses who manage such wounds, based on current literature and experiences.
Click here to download these guidelines.
-
The symptom management for adult patients with COVID-19 receiving end-of-life supportive care outside ICU was adapted from BC Centre for Palliative Care Guidelines, edited with permission by the Gippsland Regional Palliative Care Consultancy Service GRPCCS team for use in Gippsland.
Click here to download these guidelines.
Symptom Burden Clinic
Gippsland Regional Palliative Care Consultancy Service (GRPCCS) runs two outpatient symptom burden clinics per week, aimed to service clients residing throughout the Gippsland Region.
The Symptom Burden Clinics are held on a Tuesday and Wednesday with our Palliative Care Physician and Nurse Practitioner. These consultations can be held face-to-face at Latrobe Regional Hospital, via Telehealth, or via phone call.
Referrals may be made via https://referral.gippsland.pal.care/ or email palliativecarecs@lrh.com.au
Please ensure consent has been obtained by the client or family prior to making a referral.
Once a referral has been made, the GRPCCS Nurse Coordinators will triage each client and contact them with available appointment dates and times.