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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 Advice Line Meadow House Hospice
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24 hour Advice Line Meadow House Hospice

T. 0208 967 5597

W. http://meadowhouse.lnwh.nhs.uk

Meadow House Hospice 24 hour telephone support line to the hospice ward offers support and advice on palliative care issues.

Community palliative care teams

Community Palliative Care Team - based at Meadow House Hospice
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Community Palliative Care Team - based at Meadow House Hospice

T. 020 8967 5179

W. https://www.lnwh.nhs.uk/meadow-house-hospice/#community-palliative-care-team

The Community Specialist Palliative Care Nurse Team provides advice and visiting to palliative care patients in Ealing and Hounslow. The team are based at Meadow House Hospice.

The team will visit patients with progressive life limiting illness in their own homes. They provide specialist advice around pain and symptom control and support for patients, their families, and carers during the last stages of illness. They also support patients wishing to die at home through coordination with GPs and hospital teams.

The team is comprised of medical consultants, specialist nurses, physiotherapists, occupational therapists, social workers, a bereavement support officer and a patient and carer advocacy worker

The team can be contacted for referrals Monday to Friday 9.00am to 5.00pm.

Between Monday to Friday 5.00pm and 8.30am, the Out of Hours Telephone Advice line 020 8102 5000 takes calls. Weekends and Bank Holidays 5.00pm to 9.00am.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
District Nurses Night Service Hounslow
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Referrals to the night service can be made Monday to Sunday 5.00pm to 7.00am.

Pharmacies

Feltham Pharmacy
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Feltham Pharmacy

T. 020 8751 1220

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

Address: 186-188 Uxbridge Road, TW13 5DY

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

Hounslow East Pharmacy
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Hounslow East Pharmacy

T. 020 8814 6040

W. https://www.hounsloweastpharmacy.co.uk/

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

Address: 84 Kingsley Road, Hounslow, Middlesex, TW3 1QA

Opening hours: Monday to Saturday 9.00am to 10.00pm. Sunday 12.00pm to 6.00pm

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

Address: 174-176 Heston Road, Heston, Hounslow, TW5 0QU

Opening hours: Monday to Friday 9.00am to 6.00pm. Saturday 9.00am to 1.00pm

Morrisons Pharmacy
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Morrisons Pharmacy

T. 020 8568 2579

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

Address: 127 High Street, Brentford, TW8 8EW

Opening hours: Monday to Friday 9.00am to 6.00pm. Saturday 9.00am to 1.00pm.

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