Managing symptoms in the last days of life and MAAR chart examples

The Palliative Care End of Life Care Quick Reference Guide is the latest version (V5) of a collaboration between NELFT, Saint Francis Hospice and other local specialist providers to provide Community Nurses/DNs and GPs with best symptom management guidance for the last few days of life. 

See pp 10-14 for simple flow charts and pp18-20 (BHR) and p 30 (Brentwood) for local pharmacies committed to having key injectables in stock. 

Palliative Care EOL Quick Reference Guide V5

MAAR Chart example BHR area: Example MAAR charts for sensible starts as follows:

BHR MAAR CHART EXAMPLE PRNs for OPIOID NAIVE

BHR MAAR CHART EXAMPLE PRNs for OPIOID NAIVE ELDERLY OR FRAIL EGFR MORE THAN 30

BHR MAAR CHART EXAMPLE PRNs for OPIOID NAIVE EGFR LESS THAN 30

BHR MAAR CHART SYRINGE PUMP GUIDANCE FOR COMPLETING

BHR MAAR CHART CRISIS INJECTABLE MEDS GUIDANCE FOR COMPLETING

MAAR Chart example Brentwood area: Example MAAR charts for sensible starts as follows:

BRENTWOOD MAAR CHART EXAMPLE PRNs for OPIOID NAIVEBRENTWOOD MAAR CHART EXAMPLE PRNs. OPIOID NAIVE ELDERLY OR FRAIL EGFR more THAN 30

BRENTWOOD MAAR CHART EXAMPLE PRNs for OPIOID NAIVE EGFR LESS THAN 30