Guidance for the management of symptoms in adults with Heart Failure at the end of life

This guidance has been developed for healthcare professionals managing heart failure symptoms when end of life is expected within weeks to days. For these patients it would likely be inappropriate to monitor bloods at this stage of a patient’s illness. However due to the trajectory of heart failure it is advised to use clinical judgement to monitor bloods or vital observations should the end of life stage become prolonged or longer than predicted.

HSC Guidance Document for Subcutaneous Syringe Pump Use in Adults

This guidance has been designed to support both healthcare professionals and patients, this guidance provides practical, evidence-based insights to support safe and effective use of subcutaneous syringe pumps for adults across Northern Ireland. It provides a regional standardised approach to consent, patient information, prescribing, administration, education, training, audit and governance. This regional guidance aims to promote safer subcutaneous medication delivery and improved patient outcomes by offering practical patient centred advice, clear processes, and guidance to reduce the risk of error.

Northern Ireland Antenatal Pathway

The Northern Ireland Regional Paediatric Palliative Care Network (RPPCN) have developed a resource to support families and professionals where a diagnosis of a potentially life limiting, or life-threatening condition has been made at antenatal stage. The resource will help inform parental decisions and promote effective communication between professionals to ensure the most effective supports are put in place.

Management of Symptoms in Adults in the Last Days of Life

This guidance relates to the prescribing of medicines to manage symptoms for patients in the last days of life. Not every patient will require symptom management but individual need can be difficult to anticipate and therefore proactive prescribing

Care of dying adults in the last days of life

This guideline covers the clinical care of adults (18 years and over) who are dying during the last 2 to 3 days of life. It aims to improve end of life care for people in their last days of life by communicating respectfully and involving them, and the people important to them, in decisions and by maintaining their comfort and dignity. The guideline covers how to manage common symptoms without causing unacceptable side effects and maintain hydration in the last days of life.