Contents:
Document Title
Clinical Guideline for the Management of a Major Haemhorrage/Catastrophic Bleed for Palliative Care patients
Document Date
July 2024
Document Purpose and Intended Audience
This guideline has been produced to provide a clear framework to
ensure the safe and effective care of a patient at the end of life who suffers a catastrophic bleed in both an inpatient and community setting.
Author
St Giles Hospice (Dr Nial McCarron, Katie Taroni, Toni Flanagan,
Jane Mogford)
Dr Brenda Ward
Update Dr Anna Lock 2021
Update Dr Katie Shellis and Tricia Evans 2024
Update Dr Louise Hills and Dr Nicky Baker 2024
Consultation Process
Endorsed and approved by SPAGG
Monitoring
This will be audited and reviewed every 3 years
Review Date
(must be within three years)
July 2027
Approval Signatures:
SPAGG chair
Dr Jon Tomas
SPAGG secretary
Dr Alice Gray
Date Approved by SPAGG: July 2024
Date submitted to Area Prescribing Committee: N/A
Version History
Version 1
Date
September 2015
Summary of change/ process
Endorsed and approved by SPAGG
Version 2
Date
September 2018
Summary of change/ process
Reviewed
Version 3
Date
February 2024
Summary of change/ process
Reviewed
Version 4
Date
June 2024
Summary of change/ process
Reviewed
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.