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Specialist Guidelines
SPAGG are a multidisciplinary group of Palliative Care Specialists and End of Life Care clinical leaders working in Birmingham, Solihull, Sandwell, Wolverhampton and Walsall.
They produce evidence based guidance on clinical care, pathways and service provision. They also plan and co-ordinate regional audit relevant to Specialist Palliative and End of Life Care and provide opportunities for research collaboration at our local level.
SPAGG Downloads
- Algorithm for use of ALFENTANIL for pain in renal impairment
- DIABETES management in palliative care
- FEED AT RISK Guideline
- Algorithm for use of FENTANYL for pain in renal impairment
- Guideline for use of FUROSEMIDE via subcutaneous infusion
- Management of CHRONIC BREATHLESSNESS
- ANTICIPATORY MEDICATION guidelines
- Management of MAJOR BLEEDING in palliative patients
- Guideline for the Management of Patients with PARKINSON'S DISEASE who are approaching the end of life
- Deactivation of implantable cardioverter defibrillators (ICD) towards the end of life
- Use of LEVETIRACETAM via subcutaneous infusion
- Guidelines for the Use of NALOXONE in Palliative Care Adult Patients
- Prescription Administration and Monitoring of OXYGEN THERAPY in the Hospice Setting
- Guideline for managing HYPERCALCAEMIA in palliative care
- Use of SUBCUTANEOUS PROTON PUMP INHIBITORS & H2 RECEPTOR ANTAGONISTS in Palliative Care
- Use of METHADONE for adults with pain in palliative care
- PAN Birmingham Palliative Care referral form
- Assisted VENTILATION WITHDRAWAL in hospital in palliative patients
- SUBCUTANEOUS HYDRATION in Palliative Care
- Guideline for primary prophylaxis for VENOUS THROMBOEMBOLISM (VTE) in the palliative care setting
- Guidelines for the use of subcutaneous PARECOXIB in palliative patients with cancer pain
- TRANEXAMIC ACID for bleeding in palliative care