The following End of Life Care tools provide practical guidance and support to help health and social care staff to implement the National Ambitions for Palliative and End of Life Care.
Symptom control measures should be modified in cancer patients who have concurrent renal failure as well as those with non malignant causes of end stage renal failure.
If clinically appropriate the origin of the renal impairment should be investigated and corrected if possible
e.g. stenting in ureteric obstruction
causes of pain and other symptoms should be identified and treated appropriately.
Normal renal function
Mildly reduced renal function
Moderately reduced renal function
Severely reduced renal function
Very severe or ESRD
eGFR estimated glomerular filtration rate
This Guide is 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.
While WMPCPS 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.