Clinical Resources

• A Clinical Guide to Supportive and Palliative Care for HIV/AIDS, 2003 Edition
  
  Edited by Joseph F. O'Neill, Peter A. Selwyn, and Helen Schietinger
•   BioMed Central (BMC) Online Publications in Palliative Care
  
  "BMC Palliative Care (ISSN 1472-684X) is an online journal publishing research articles after full peer review. All articles are published, without barriers to access, immediately upon acceptance. The journal is published by BioMed Central Ltd, Middlesex House, 34-42 Cleveland Street, London W1T 4LB, UK."
•   Billings, JA  Recent Advances: Palliative Care  BMJ 2000;321:555-558 ( 2 September )
•   CancerNet Supportive Care PDQs
  
  "Side effects of cancer treatment, management of cancer complications, and psychosocial concerns"
• City of Hope Pain/Palliative Care Resource Center
  
  "The purpose of the COHPPRC is to serve as a clearinghouse to disseminate information and resources to assist others in improving the quality of pain management and end of life care."
• Clinical Guideline: Anticipating And Preparing For Predictable Clinical Challenges In The Medical Care Of The Terminally Ill Person Wishing To Die At Home  
• College of Physicians and Surgeons of Manitoba Guideline on Arrangements for Expected Death at Home
• Cochrane Pain, Palliative Care and Supportive Care Group (PaPaS)
  
  "There are 50 Cochrane 'review groups', each preparing systematic reviews for a specific area of healthcare. The Cochrane Pain, Palliative Care and Supportive Care Group (PaPaS) focuses on reviews for the prevention and treatment of pain; the treatment of symptoms at the end of life; and supporting patients, carers and their families through the disease process."
•   Edmonton Regional Palliative Care Program: Palliative Care Tips
• Fast Facts Index: The End of Life Physician Education Research Project (EPERC)
  
  From  EPERC:  "Fast Facts are peer reviewed, one-page outlines of key information on important end-of-life clinical topics for end-of-life educators and clinicians."
•   International Association for Hospice and Palliative Care (IAHPC) Manual of Palliative Care
  
  "The IAHPC offers this Manual in the hope that doctors and nurses world-wide will find the information in it helpful, will feel free to download whatever parts of it they want , and will make its existence known to colleagues also seeking to improve their skills so as to offer better care to their terminally ill patients."
• Scottish Intercollegiate Guidelines Network (SIGN)  Link to page with guideline on management of cancer pain. Other guidelines available as well.
  
  "The Scottish Intercollegiate Guidelines Network (SIGN) was formed in 1993. Our objective is to improve the quality of health care for patients in Scotland by reducing variation in practice and outcome, through the development and dissemination of national clinical guidelines containing recommendations for effective practice based on current evidence."
•   SymptomControl.com
  
  "SymptomControl.com is a programme that teaches symptom control to Health Care Professionals"
• University of Dundee Palliative Care Resource
  
  Home page of H.E.L.P. -  Helpful Essential Links to Palliative Care. Provides educational reference material for use as a resource in the clinical care of the dying.

• Intranasal.net
•   PalliativeDrugs.com
  
  "This site provides essential, comprehensive and independent information for health professionals about the use of drugs in palliative care. It highlights drugs given for unlicensed indications or by unlicensed routes and the administration of multiple drugs by continuous subcutaneous infusion."
•   SDrivers Database
  
  "SDrivers is a database to help assess the compatibility of drug combinations that may be considered for use in a continuous subcutaneous infusion ('syringe driver'). It contains references to the literature when available, and reports submitted from professionals of their experience using combinations...."

Communication

• BMJ Article: The A-M, Hak T, Koëter G, van der Wal G  Collusion in doctor-patient communication about imminent death: an ethnographic study  BMJ 2000;321:1376-1381 ( 2 December )
• Discussing Palliative Care with Patients
  Bernard Lo, MD, FACP, Timothy Quill, MD, FACP, and James Tulsky, MD, for the ACP-ASIM End-of-Life Care Consensus Panel
  Ann Intern Med 1999;130:744-9

Constipation and Bowel Obstruction

•   Medicine Australia (MedAu) - Malignant bowel obstruction in palliative care
  
  A review article on malignant bowel obstruction in palliative care
• National Cancer Institute PDQ®: Gastrointestinal Complications

Delirium

• Diagnosis and Management of Delirium Near the End of Life
  David Casarett, MD and Sharon Inouye, MD, for the ACP-ASIM End-of-Life Care Consensus Panel
  Ann Intern Med 2001;135:32-40
• National Cancer Institute PDQ®: Delirium

Depression

• Assessing and Managing Depression in the Terminally Ill Patient
  Susan Block, MD, for the ACP-ASIM End-of-Life Care Consensus Panel
  Ann Intern Med 2000;132:209-218
• National Cancer Institute PDQ®: Depression

Nausea and Vomiting

• National Cancer Institute PDQ®: Nausea and Vomiting

Pain

•   AnestCadiz(TM), Andalusian website of Anesthesiology, Critical Care and Pain Treatment
  
  "AnestCadiz(TM), Andalusian website of Anesthesiology, Critical Care and Pain Treatment, is a non-profitable project set up in mid-2004 exclusively aimed at health professionals."
• Cancer-Pain.org
  
  "Connect to the latest and most accurate information on state-of-the-art management of cancer pain for patients, caregivers and healthcare professionals."
•   European Society for Medical Oncology (ESMO)- Clinical Recommendations for the management of cancer pain (2007)  
• Incident Pain and Incident Dyspnea Protocol
• International Association for the Study of Pain - Clinical Updates
• National Cancer Institute PDQ®: Pain
•    National Comprehensive Cancer Network - Clinical Practice Guidelines in Oncology: Adult Cancer Pain     
• Oxford Pain Internet Site
  
  "This site is for anyone with a professional or personal interest in pain and analgesia. It is firmly based in the principles of evidence-based medicine and has pulled together systematic reviews with pain as an outcome."
• Pain.com
  
  A clinical and educational resource for pain management
•   Pain-Talk
  
  "The national discussion forum and community for UK Healthcare Professionals with an interest in acute, chronic, or palliative Pain Management."
• Royal College of Physicians (UK): Principles of Pain Control in Palliative Care for Adults
• Management of Pain and Spinal Cord Compression in Patients with Advanced Cancer
  Janet L. Abrahm, MD, FACP, for the ACP-ASIM End-of-Life Care Consensus Panel
  Ann Intern Med 1999;131:37-46

Prognosis- Estimating

• Bennett M, Ryall N  Using the modified Barthel index to estimate survival in cancer patients in hospice: observational study   BMJ 2000;321:1381-1382 ( 2 December )
• BioMed Central Online Article - Accuracy of prognosis estimates by four palliative care teams: a prospective cohort study; Irene J Higginson and Massimo Costantini; BMC Palliative Care 2002, 1:1
• BMJ Article: Christakis NA, Lamont EB  Extent and determinants of error in doctors' prognoses in terminally ill patients: prospective cohort study  BMJ 2000;320:469-473 ( 19 February )
• From Manitoba, Canada: Guideline for Estimating Prognosis  

Radiation Therapy

• BMJ Article: Symonds, RP  Clinical review: Radiotherapy - Recent advances  BMJ 2001;323:1107-1110 ( 10 November )

Sedation in the Imminently Dying  ("Palliative Sedation", "Terminal Sedation")

• Responding to Intractable Suffering: The Role of Terminal Sedation and Voluntary Refusal of Food and Fluids
  Ira Byock, MD and Timothy Quill, MD, FACP, for the ACP-ASIM End-of-Life Care Consensus Panel
  Ann Intern Med 2000;132:408-414