Contents:
Document Title
Guideline for the use of subcutaneous hydration in palliative care
Document Date
August 2023
Document Purpose and Intended Audience
This guideline has been produced to support the administration of subcutaneous fluids to palliative care patients in all care environments.
Author
Dr Christina Radcliffe
Consultation Process
Discussed and ratified through SPAGG
Monitoring
Updated and reviewed through SPAGG
Review Date
(must be within three years)
September 2026
Approval Signatures:
SPAGG chair
Dr Jon Tomas
SPAGG secretary
Dr Emma Wooldridge
Date Approved by SPAGG: 18 August 2023
Date submitted to Area Prescribing Committee: N/A
Version History
Version 1.0
Date
September 2009 - August 2012
Summary of change/ process
- Amendments made following Governance Committee Sub Group
- Prepared for review by the NSSG in January 2012
- Sent to John Speakman (lead author) by Rachel Loveless
- Following consultation for review by TC
- Sent to NSSG and SPAGG for comments (Marion Burns)
- With final changes, for consideration by the Clinical Governance Sub Group
Version 2.0
Date
September 2012 - June 2017
Summary of change/ process
- Endorsed by the Governance Sub Group
- Reviewed by Christina Radcliffe, Diana Webb and Jane Bartholomew on behalf of SPAGG
- Circulated to SPAGG group for comments
- Comments reviewed and updated
Version 2.4
Date
August 2017
Summary of change/ process
Final version produced, for ratification by SPAGG committee
Version 3.0
Date
September 2020
Summary of change/ process
Reviewed by Christina Radcliffe on behalf of SPAGG, minor changes only needed. Consulted with BCHC teams who support community use of these guidelines.
Version 4.0
Date
September 2023
Summary of change/ process
Reviewed by Christina Radcliffe on behalf of SPAGG, minor changes only needed. Noted CHELseaII study in progress so may need more radical review in coming years.
Disclaimer
These Guidelines are intended for use by healthcare professionals and the expectation is that they will use clinical judgement, medical, and nursing knowledge in applying the general principles and recommendations contained within. They are not meant to replace the many available texts on the subject of palliative care.
Some of the management strategies describe the use of drugs outside their licensed indications. They are, however, established and accepted good practice. Please refer to the current BNF for further guidance.
Whilst SPAGG takes every care to compile accurate information , we cannot guarantee its correctness and completeness, and it is subject to change. We do not accept responsibility for any loss, damage or expense resulting from the use of this information.