[It is inappropriate to commence] resuscitation [from cardiac arrest when it] is either futile or not in the best interests of the patient e.g. unwitnessed cardiac arrest with asystole as initial rhythm, patients who are dying from cancer, and patients with severe end stage chronic medical conditions (e.g. end stage heart failure or end stage COAD) who are house bound.
6.8 PALLIATIVE CARE
This procedure is written for patients who are receiving end of life care. It focuses on relief of symptoms and not on instituting treatments aimed at prolonging life. However, some patients under the care of palliative care teams or hospices are not at the very end of their lives. For these patients it may be appropriate to institute some life prolonging treatments. [Contact the patient's primary or palliative care team or a Manager for assistance if required].
• It is appropriate to give treatments that are aimed at comfort and relief of symptoms e.g. relief of pain, anxiety or shortness of breath.
• It is inappropriate to give treatments that artificially prolong the process of dying e.g. CPR or assisted ventilation.
• Whenever possible follow the patient’s wishes regarding hospital admission (they may wish to die at home), taking into account the views of the family. If transport is required this should be to a hospice if at all possible, provided this is arranged by phone.
• Personnel may administer medicines and recommend the patient is not transported, provided this is consistent with adequate ongoing symptom control and they make contact with the patient’s palliative care personnel. This contact must be as soon as practical (preferably at the time) and must include why personnel were called and what they did for the patient.
