GeriatricsGeneral Medicine
End-of-Life Care Planning
NICE NG142 — recognise dying, anticipatory medications, hydration, family support, after-death care.
Source: NICE NG142 (2019)
Step 1 of ~4
info
Recognise Dying
Last days of life:
• Profound weakness, bedbound.
• Unable to take oral fluids / medications.
• Reduced consciousness.
• Cheyne-Stokes breathing.
• Mottled extremities.
• Reduced urine output.
MDT discussion + senior review; communicate compassionately with patient + family.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Folinic Acid (Calcium Folinate / Leucovorin) · Antidote / Chemotherapy Support
- Enteral feeds · Nutritional support
- Folinic Acid (Calcium Folinate / Leucovorin) · Antidote / Chemotherapy Support
- Factor IX Concentrate · Coagulation Factor Replacement — Haemophilia B
- Sodium hyaluronate · Ocular lubricant (hyaluronic acid)
- Ascorbic Acid (Vitamin C — High-dose Burns) · Antioxidant / Capillary integrity support
Pathways
- Falls Assessment in Older Adults · NICE CG161 2013
- Delirium Outside ICU · NICE CG103
- Comprehensive Geriatric Assessment (CGA) · BGS / NICE
- Delirium Assessment and Management · NICE CG103 2010
- Frailty Recognition and Management · BGS Frailty Framework / NHS NHSE
- Polypharmacy and Medicines Optimisation · STOPP/START v2 2014 / NICE NG5
Decision support only. Always apply local guidelines and clinical judgement.