Welcome to HPAL
Brief expert resources relating to palliative care for clinicians and patients, with links to national and local services
Recent Articles
Article categoriesUpdate on the role of doctors after a death at home
Changes in death certification since September 9th 2024
Flying Safely
Helping patients with air travel including towards the end of life
Malignant wounds
An approach to managing wounds caused by cancer
Haemorrhage from malignant wounds
How to manage erosion into a major blood vessel
How to talk to children about death and dying
Children are never too young to talk about death and dying
Anxiety towards the end of life: Information for clinicians
A nuanced approach to assessing anxiety in palliative illness
Terminal agitation: Information for clinicians
Confusion, restlessness and agitation are common distressing symptoms at the end of life and require careful physical assessment and management
Neuropathic pain: Information for clinicians
Diagnosis and treatment of nerve pain, and when to seek specialist advice
Starting a Syringe Pump: Information for clinicians
How do I decide when it is appropriate to start a syringe pump and what should I prescribe? Advice from a senior palliative physician
Nausea and vomiting: Information for clinicians
A pragmatic approach to assessment and treatment in the community
Abdominal pain in patients with cancer: Information for clinicians
How should I best assess abdominal pain in a patient with advancing cancer? Advice from a senior palliative physician
Deprescribing
Medications should be reviewed in the last months of life and many could be safely stopped