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Cough: Information for patients and carers

This advice is sourced from Dr Ros Taylor a senior palliative physician

What causes a cough in advanced illness?

There may be a treatable cause of a cough which is unrelated to someone's terminal illness. For example:

  • Chest infection
  • Allergy
  • Acid reflux
  • Underlying lung disease e.g. COPD or asthma
  • Swallowing food/liquid into the airways (aspiration)
What simple measures can patients and carers use to try and improve a cough?

Use simple measures first e.g. steam inhalations or taking honey 

A saline nebuliser can be helpful - ask your GP or pharmacist

If possible avoid lying on your back because this makes coughing ineffective

When does coughing require medical help?

If a cough is not responding to simple measures and disturbing sleep

Coughing up blood 

Signs of a chest infection - such as coughing up green sputum/ or have a high temperature

Becoming more breathless

If there is a cough right at the end of life please see this page which explains the normal changes in breathing that occur at this stage.

 

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Pharmacies

Atkinson Chemist
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Atkinson Chemist

T. 020 8360 1037

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address:  750 Green Lanes, Winchmore Hill, N21 3RE

Opening hours: Monday to Friday 9.00am to 6.30pm. Saturday 9.00am to 6.30pm

Bees Chemist
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Bees Chemist

T. 020 8807 3228

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address:  172 Fore Street, Edmonton, N18 2JB

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 6.00pm

Elgon Chemist
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Elgon Chemist

T. 020 8805 5298

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address:  Eagle House Surgery, 291 High Street, Ponders End, Enfield, EN3 4DN

Opening hours: Monday to Friday 9.00am to 6.45pm. Saturday 9.00am to 5.45pm. Sunday 10.00am to 3.30pm

Morrisons Pharmacy
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Morrisons Pharmacy

T. 020 8886 0368

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address:  Aldermans Hill, Palmers Green, N13 4YD

Opening hours: Monday to Saturday 9.00am to 7.00pm. Sunday 10.00am to 4.00pm

Ronchetti Pharmacy
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Ronchetti Pharmacy

T. 01992 710749

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address:  617-619 Hertford Road, Enfield, EN3 6UP

Opening hours: Monday to Friday 9.00am to 6.30pm. Saturday 9.00am to 6.00pm

Palliative care advice lines

NCL Palliative Advice Team
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NCL Palliative Advice Team

T. 020 8152 3252

W. https://northlondonhospice.org/get-support/out-of-hours-telephone-advice

The North Central London Palliative Advice Team is a telephone service providing palliative care patients, families, carers, and healthcare professionals (in NCL ICS boroughs) with out of hours advice and support.

The telephone service is available 8.00pm to 8.00am, seven days a week.

St Joseph's Hospice
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St Joseph's Hospice

T. 0300 30 30 400

W. https://www.stjh.org.uk/

St Joseph's Hospice provide palliative care in the Hospice and in the community for residents in Enfield, Haringey and Islington.

There is a 24 hour advice and support line.

Community palliative care teams

St Joseph's Hospice
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St Joseph's Hospice

T. 0300 30 30 400

W. https://www.stjh.org.uk/

St Joseph's Hospice provide palliative care in the Hospice and in the community for residents in Enfield, Haringey and Islington.

There is a 24 hour advice and support line.

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