Palliative Care. Not Just opiates Dr Bruce Davies. www.bradfordvts.co.uk. Introduction.
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Not Just opiates
Dr Bruce Davies
Information and education about:
Support during the illness
Sources of support.
GP, DN, Nurse specialists eg Macmillan, Palliative care doctors.
Community nurses, private nurses, Marie Curie.
Marie Curie, DN services
Community Hospitals, Nursing homes, Hospices.
GPs, DN, Macmillan, Voluntary organisations ie BACUP..
Bereavement counsellors, DN, Macmillan.
OT, PT, DN and social services.
Elicit Person's understanding
Does the person know
or suspect the truth?
"Fire warning shot"
Explore level of knowledge
Break news at person's pace
Confirm news at
in manageable chunks
Acknowledge immediate reactions
Allow time for initial shock
Deal with reactions and questions
Offer support as needed
Defend actions of colleagues
Anger is diffused