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Symptom Control Guidelines

The Palliative Care Teams in York and Scarborough have decided to use the Scottish Palliative Care Guidelines aiming to provide an emergency resource for generalists out of hours in the York and Scarborough locality.  These are external guidelines that are recognised as SAFE practice by the Specialist Palliative Care teams working across the hospital, community and hospices and can be followed if no direct Specialist Palliative Care advice is available. There is always a 2nd on call consultant available to discuss complex patients with. For out of hour’s advice please see below.

York

St Leonards hospice 01904 708553 (24/7)

Scarborough

Pallcall St Catherine’s hospice 01723 354506 (24/7)

Please consider referral to the specialist palliative care team the next working day.


Disclaimer

  • Scottish references (incapacity act, O2 ordering, organ donation, DNACPR)
  • Use of Diamorphine
  • Use of Lidocaine
  • Alfentanil sublingual

Concern about the following guidelines, ask specialist advice first

  • Pruritus
  • Bleeding
  • Sweating
  • Phenobarbital
  • NSAID’s in renal disease
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While contagious viruses are active year-round, winter is a prime time for norovirus, colds, influenza (flu), and other respiratory illnesses.

 

These infections are highly contagious, so we urge people to stay away unless their visit is absolutely essential to help reduce the spread of infection within our hospitals.

Hospitals are full of sick people, many of them frail and elderly, so bringing germs into a hospital is the worst thing you can do.  We have an active programme of infection prevention but we can’t spot visitors who really shouldn’t be here.  Please stay at home if you’re unwell to help aid the wellbeing and recovery of our patients.