End of Life Care for Pharmacists
This day will be of interest to registered pharmacists working within hospital, community, hospice and GP practice settings.
Due to an ageing population living with co-morbidities, pharmacists require confidence in their ability to offer high quality end of life care. Whatever setting or practice, the provision of pharmaceutical care to patients who are approaching end of life and their families or carers will be needed.
This day will centre around the 'NICE Quality Standard QS144 for Care of the Dying Adult in Last Days of Life'. The day will cover:
- Management of symptoms at end of life
- Difficult conversations
- Use of syringe pumps and the subcutaneous route
- Opioid conversions
Location: Sobell Study Centre
Macmillan Principal Pharmacist Palliative Care
based at Thames Hospice and Frimley Health NHS Foundation Trust
Consultant Pharmacist in Palliative and End of Life Care
based at Sobell House and Katharine House Hospices
This programme may change.
09.00 Registration opens: tea and coffee available
09.30 Welcome and introduction
09.40 What is good EoLC?
10.00 Assessing signs and symptoms: recognising dying
Symptoms at EoL – case study
11.00 Emergencies in palliative care
11.30 Anticipatory prescribing: just-in-case bags/boxes, unlicensed/off-label prescribing
12.15 Communication: difficult conversations at EoL
Shared decision making including advanced care planning, DNACPR/ReSPECT
13.30 De-prescribing at end of life: case study
14.15 Opioid conversions, symptom management: quiz
15.30 Syringe pump: workshop on CME T34
16.15 Summary and evaluation
16.30 End of day
By the end of the day, participants will :
• Recognise symptoms which may suggest that a patient is entering the last weeks of life.
• Feel confident in opioid conversions and the use of medications via the subcutaneous route.
• Have increased confidence in working with the multidisciplinary team to advise and provide high quality care.
• Provide evidence for GPhC, CPD and RPS Faculty e-Portfolio.