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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

1st March 2024

Books to better understand dying, death and palliative care

Browsing books can be a gentle way to feel less alone and more in control 

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15th February 2024

Anticipatory Prescribing: information for patients and carers

Understanding the injections that you have been asked to keep at home.  Advice from a senior palliative physician

Expert Advice
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15th February 2024

Constipation caused by medicines: Information for patients and carers

What is the best treatment for constipation caused by medicines? Advice from a senior palliative physician

Expert Advice
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17th January 2024

Bowel obstruction: Information for patients and carers

How to recognise the signs of a blockage in the bowel

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11th January 2024

An approach to organising your future care, health and wishes

An overview of advance care planning and recommended resources to help you get started

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11th January 2024

Agitation and Restlessness in the Final Days: Information for patients and carers

Confusion, restlessness and agitation are common distressing symptoms at the end of life 

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10th January 2024

Pharmacies

Pharmacies which stock end of life medications in your borough

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29th December 2023

Planning ahead for all your online accounts (digital assets)

It is important to make plans for our social media and other online accounts before we die

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28th December 2023

Cardiopulmonary Resuscitation (CPR) : Information for patients and carers

It is essential for people in the palliative phase of illness to discuss CPR so that their wishes can be understood

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1st November 2023

Itching: Information for patients and carers

Understanding the causes of itch, and techniques to improve itchy skin

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26th October 2023

Moving someone in and out of bed

How to move someone into a chair or commode, or to the shower, and back into bed again

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15th October 2023

Moving someone in bed

How to turn someone in bed, and how to change the bed with someone in it

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14th October 2023

Setting up a version of HPAL in your area

HPAL can be customised to any region or ICS

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26th September 2023

Lymphoedema: Information for patients and carers

Lymphoedema is a long-term condition that causes swelling in the body's tissues

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11th September 2023

Spinal cord compression: Information for patients and carers

Consider the need for urgent treatment in someone with bone metastases who has developed new back pain

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31st July 2023

Flying Home

Helping patients to arrange international travel including at the end of life

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27th July 2023

Pain and dementia

How to assess whether someone with advanced dementia is in pain, and ways to help

Expert Advice
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13th July 2023

Palliative care and dementia

An overview of services related to dementia and palliative care

 

Expert Advice
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27th June 2023

What families need to do when someone dies

Information for families on what to do after death, legalities and next steps

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21st June 2023

Please complete our 3 minute survey

The HPAL team rely on your feedback to continually improve this service

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18th June 2023

Depression in palliative care: Information for patients and carers

Symptoms of low mood and sadness need a careful assessment as they could be caused by treatable depression

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27th April 2023

Caring for a breathless patient at home

Resources to support someone who is living with breathlessness

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12th April 2023

Radiotherapy skin reactions: Information for patients and carers

How radiotherapy can affect the skin and how to care for your skin during treatment

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12th March 2023

Financial help when you are living with a terminal illness

An overview of benefit entitlement and where to seek further advice

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10th March 2023

Nausea and vomiting: Information for patients and carers

How can I help my nausea at home before trying medication? Advice from a senior palliative physician

Expert Advice
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9th March 2023

Notes on grief

A description of the most common experiences of grief following a bereavement 

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27th February 2023

Caring at home - practical tips

A range of short videos and invaluable practical tips for families caring at home towards the end of life

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20th February 2023

Painkillers: Information for patients and carers

What is the best medication for pain? Advice from a senior palliative physician

Expert Advice
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15th February 2023

Hiccups: Information for patients and carers

Self-help techniques and when to seek medical help

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13th February 2023

Concerns about opiates: Information for patients and carers

Worries about drugs such as Morphine are common 

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1st February 2023

Organ Donation

How to donate organs, exclusions for donations and further information for patients

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19th January 2023

Cough: Information for patients and carers

How should I treat my cough? Advice from a senior palliative physician

Expert Advice
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17th January 2023

What to tell children about death

Children are never too young to talk about death and dying

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12th December 2022

What to expect when someone close to you is dying

Information for carers about what to expect as life draws to a close

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5th December 2022

Mouth care: Information for patients and carers

An overview of good mouth care and how to manage common problems

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16th September 2022

Twitter and palliative care

The best Twitter links to palliative care expertise and ideas

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1st February 2022

The Lancet Commission on the Value of Death

A global vision for healthcare professionals on death and dying 

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25th May 2021

What matters to you - conversations that count

Creative resources to help start those crucial conversations about what matters to you

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10th June 2020

Suffering and the role of healthcare workers

An important discussion of personhood, suffering and the role of clinicians

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