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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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Palliative care advice lines

24 hour Helpline Pall24 for North Brent and Harrow
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24 hour Helpline Pall24 for North Brent and Harrow

T. 03000 200 224

This service was formerly known as Single Point of Access (SPA)

This is a 24 hour 7 days a week helpline providing advice for patients, families and professionals, hosted by St Luke's Hospice for residents of Harrow and North Brent.

Urgent rapid response visits can be made to patients registered with a Harrow GP

 

Pharmacies

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

Address: 4-5 Station Parade, Belomont Circle, HA3 8SB

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

Carters Chemist
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Carters Chemist

T. 0208 8660053

W. https://carterschemist.co.uk/

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

Address: 24 Bridge Street, Pinner, HA5 3JF

Opening hours: Monday to Friday 9.00am to 6.00pm. Saturday 9.00am to 5.00pm

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

Address: 8-9 Queensbury Circle Parade, Stanmore, HA7 1EY

Opening hours: Monday to Friday 9.00am to 6700pm. Saturday 9.00am to 5.00pm.

Healthways Pharmacy
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Healthways Pharmacy

T. 020 8866 3164

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

Address: 382 Rayners Lane, Pinner, HA5 5DY

Opening hours: Monday, Tuesday, Thursday and Friday 9.00am to 7.00pm. Wednesday 9.00am to 6.00pm. Saturday 9.00am to 6.00pm.

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

Address: 172 Kenton Road, Harrow, HA3 8BL

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 2.00pm

Community palliative care teams

Harrow Community Palliative Care
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Harrow Community Palliative Care

T. 020 8102 6163

The Harrow Community Specialist Palliative Care Team (CLCH) provides specialist palliative care, advice, and support to patients in Harrow with complex palliative care needs.

They can be contacted Monday to Friday 8.00am to 8.00pm.

They are based at Honeypot Lane Health Centre, 839 Honeypot Lane, HA7 1AT.

Out of Hours the Pall24 Helpline can be used 03000 200 224

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
St Luke's Hospice at Home
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St Luke's Hospice at Home

T. 0208 382 8020 / 8050

St. Lukes Hospice@Home provides palliative care services to the residents of North Brent and Harrow. Respite and bridging packages of care are available for end of life patients.

Please contact the team between Monday to Saturday 9.00am to 5.00pm.

The email can be used for fast track referrals.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
St Luke's Hospice Inpatient Unit
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St Luke's Hospice provides inpatient palliative care services to the residents of Brent.

This is an inpatient unit with 12 beds. Please contact for admissions and advice.

Referrals can be made Monday to Sunday 9.00am to 4.00pm. 

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)

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