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The views and opinions expressed in our blog series are those of the authors and are not necessarily supported by CareSearch, Flinders University and/or the Australian Government Department of Health.
For this discussion, aged care refers to the additional care required for an older person needing regular health professional input either in the community or in an aged care home.
Palliative care is, according to the WHO (World Health Organisation), ‘an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual’.
People living with a life-limiting illness, such as cancer, frequently report moderate to severe pain and describe in detail how it affects activities of daily living and quality of life. What matters most – be it spending quality time with grandchildren, time in the garden, or writing down their favourite life anecdotes – becomes hard work and wearisome in the face of uncontrolled pain. Yet in managing this beast that is pain, management with opioids has its own share of issues. Fortunately, with some thought at the point of prescribing, whether initiating or reviewing therapy, general practitioners (GPs) can anticipate these issues. Here are five tips to improve confidence with opioid use in the terminally ill.
One of the most troubling aspects of caring for people at the end of life is caring for those left behind. The problem is simple – everyone focusses on the ill person while curative treatment is attempted. Everyone knows the supporting spouse, child, or friend is there, but the person with the illness is the patient, not the carer. However, being a carer is a risky business. Most carers have little health knowledge or background. The fear of doing the wrong thing and making the ill person worse is ever present. They do not know what is going to happen, and if things go wrong, whom to call and what to do. Studies of carers and patients at the end of life repeatedly show that the carers are more anxious and depressed than the patients themselves.