Welcome to HPAL
HPAL highlights the best resources relating to palliative and end of life care in an easily accessible way for clinicians and patients in North West London
Recent Articles
Article categoriesDeprescribing
Medications should be reviewed in the last months of life and many could be safely stopped
Opioid conversion
Resources for clinicians to tackle tricky opioid dose conversions.
Neuropathic pain: Information for clinicians
Diagnosis and treatment of nerve pain, and when to seek specialist advice
Pruritis: Information for clinicians
A pragmatic approach to assessment and treatment in the community
Setting up a version of HPAL in your area
HPAL can be customised to any region or ICS
Lymphoedema: Information for clinicians
Understanding and managing lymphoedema - a practial overview for clinicians
Sweating: Information for clinicians
Management tips to control drenching sweats
Death rattle: Information for clinicians
How should I treat noisy breathing at the end of life? Advice from a senior palliative physician
Flying Home
Helping patients to arrange international travel including at the end of life
Pain and dementia
How to assess whether someone with advanced dementia is in pain, and ways to help
What health professionals need to do after a death
Care of the patient and loved ones after death, legalities and next steps
Palliative care and dementia
An overview of services related to dementia and palliative care