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Related Experiment Videos

Until the chemist opens - palliation from the doctor's bag.

Rebecca Seidel1, Christine Sanderson, Geoff Mitchell

  • 1Southern Adelaide Palliative Services, Repatriation General Hospital, South Australia.

Australian Family Physician
|April 28, 2006
PubMed
Summary

General practitioners can manage palliative care crises at home using readily available

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Area of Science:

  • Palliative Care Medicine
  • General Practice
  • Symptom Management

Background:

  • Life-limiting illnesses present unpredictable exacerbations requiring urgent after-hours care.
  • General Practitioners (GPs) utilize accessible emergency medications for crisis intervention.
  • Injectable emergency drugs are standard in doctors' bags for acute situations.

Purpose of the Study:

  • Identify 'doctor's bag' medications for common palliative care crises.
  • Evaluate the evidence supporting these indications.
  • Provide GPs with strategies for home management of palliative care patients.

Main Methods:

  • Literature review to identify evidence for medication use in palliative crises.
  • Analysis of common palliative care crisis presentations.
  • Synthesis of management strategies for out-of-hours care.

Main Results:

  • Specific 'doctor's bag' medications are identified for frequent palliative care crises.
  • Evidence supports the use of these medications for symptom palliation.
  • Management strategies focus on appropriate dosing and administration.

Conclusions:

  • Clinical context, patient wishes, and disease trajectory are crucial in palliative crises.
  • After excluding reversible causes, 'doctor's bag' medications effectively manage symptoms.
  • Optimizing route, duration, and dosage ensures effective palliation at home.

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