Background Meaningful communication with people with profound communication difficulties
depends on the ability of carers to recognize and translate many different verbal cues. …

Therapeutic Reviews aim to provide essential independent information for health professionals
about drugs used in palliative and hospice care. Additional content is available on www.…

Objective: There is a concern that pain is under-recognized in dementia. However, there may
be other causes of distress. We wished to evaluate the utility of a distress tool and a pain …

In 1999 a palliative care team was established for adults with severe learning disabilities at
Northgate Hospital in the North East of England. It was given NHS Beacon status in 2001 …

This established and well-regarded Guide describes the management of patients with
advanced disease. Its foundation is a clinical decision-making approach in which the patient's …

Breaking bad news is neither an easy nor a popular task. Properly handled, however. it can
be given in a positive way that the individual can both accept and understand. There may be …

Intraspinal analgesia can be helpful in some patients with intractable pain. Over 15 years
palliative care professionals evolved their spinals policy through a repeated series of …

The Doctrine of Double Effect (DDE) in medicine is well known: that the risk of a potential,
unintended consequence of treatment is justified if the purpose and intention of that treatment …

Tube feeding in dementia remains controversial as evidenced by recent responses to the
Royal College of Physicians (RCP) report on oral feeding [1]. Criticisms of non-oral feeding are …

Objectives Assisted dying has been legally available in Oregon in the USA for 25 years, since
when official reports have been published each year detailing the number of people who …