{"id":37,"date":"2024-05-15T11:09:55","date_gmt":"2024-05-15T10:09:55","guid":{"rendered":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/nhs-borders\/palliative-care\/"},"modified":"2024-05-15T11:47:15","modified_gmt":"2024-05-15T10:47:15","slug":"palliative-care","status":"publish","type":"page","link":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/pages\/palliative-care\/","title":{"rendered":"Palliative Care"},"content":{"rendered":"\n<p>The palliative care service involves:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dispensing of specialist palliative care medicines, according to an agreed list.<\/li>\n\n\n\n<li>Provision of advice and information on the use of these medicines to patients\/carers and healthcare professionals.<\/li>\n\n\n\n<li>Liaison with the patient&#8217;s usual community pharmacist and primary health care team to ensure continuity of supply of medicines and advice.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Just in Case Medicines<\/h2>\n\n\n\n<p>Due to the increase in demand for Just in case boxes,\u00a0here is a\u00a0link to\u00a0the current <a href=\"https:\/\/www.communitypharmacy.scot.nhs.uk\/media\/4077\/palliative-care-covid-urgent-care-may-2020.pdf\">NHS Fife palliative care guide<\/a>.\u00a0This guide is for patients who are likely to deteriorate and die in the coming days or weeks for whom the aim is community based care.\u00a0<\/p>\n\n\n\n<p>Just in case (JIC) boxes should not be prescribed for anticipatory care- instead prescribers should&nbsp;write prescriptions and issue the new&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.fifeadtc.scot.nhs.uk\/guidance-documentsscps\/just-in-case-information\/prescription-kardex-for-jic-prescribing\/dose-range-anticipatory-medication-kardex.aspx\" target=\"_blank\">dose range anticipatory pre-printed kardex<\/a>,&nbsp;available on ADTC website.&nbsp; We have advised prescribers that all pharmacies can dispense anticipatory medicines not just palliative care pharmacies.&nbsp;<\/p>\n\n\n\n<p>JIC boxes should never be&nbsp;prescribed urgently; instead their use should be anticipated in advance as a core part of the treatment plan.&nbsp;&nbsp;\u200bTo support urgent access to palliative medication both in and out of hours, the community nursing team now have access to grab bags and sundries to allow urgent administration of&nbsp;anticipatory&nbsp;medication, until a supply can be obtained from a community pharmacy.&nbsp;<\/p>\n\n\n\n<p>If there is any uncertainty regarding whether the prescriber intends a JIC box to be provided or whether it is only the medication that is required please contact them to clarify.&nbsp;<\/p>\n\n\n\n<p>If&nbsp;you are unable to provide a JIC box it has been agreed that a bag can be used. Please clearly mark as JIC medicines \/sundries for the&nbsp;community nursing teams&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Resources<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.communitypharmacy.scot.nhs.uk\/media\/4544\/just-in-case-claim-form-october-2020-v4.pdf\">Just In Case Claim Form &#8211; October 2020 v4.pdf<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.communitypharmacy.scot.nhs.uk\/media\/3453\/sop-just-in-case-june2019.pdf\">Just in Case SOP<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.communitypharmacy.scot.nhs.uk\/media\/8683\/jic-sundries-order-for-v8-300124.docx\">JIC Sundries Order Form v8 30.01.24<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.communitypharmacy.scot.nhs.uk\/media\/6291\/palliative-care-leaflet-updated-2022.pdf\">Fife Palliative Care Leaflet 2022<\/a>&nbsp;(for professionals)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.communitypharmacy.scot.nhs.uk\/media\/8727\/jic-leaflet-patients-carers_nov23.pdf\">JIC Patient information leaflet Nov 23<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.communitypharmacy.scot.nhs.uk\/media\/3428\/c64_service_spec_palliative_care_network_sept_2012.pdf\">Palliative Care Specification<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.communitypharmacy.scot.nhs.uk\/media\/3425\/c64_palliativecareannualretainerclaimform2019-20.pdf\">Palliative Care Annual Retainer Claim Form 2019-20 PDF<\/a>&nbsp;(26 Apr 2019)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.communitypharmacy.scot.nhs.uk\/media\/3424\/c64_palliativecareoutofhoursclaimformapril2019.pdf\">Palliative Care Out of Hours Claim Form April 2019 PDF<\/a>&nbsp;(26 Apr 2019)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p class=\"nhsuk-card__description\">The palliative care service involves: Just in Case Medicines Due to the increase in demand for Just in case boxes,\u00a0here [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":15,"menu_order":28,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-37","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/wp-json\/wp\/v2\/pages\/37","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/wp-json\/wp\/v2\/comments?post=37"}],"version-history":[{"count":3,"href":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/wp-json\/wp\/v2\/pages\/37\/revisions"}],"predecessor-version":[{"id":123,"href":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/wp-json\/wp\/v2\/pages\/37\/revisions\/123"}],"up":[{"embeddable":true,"href":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/wp-json\/wp\/v2\/pages\/15"}],"wp:attachment":[{"href":"https:\/\/www.communitypharmacy.scot.nhs.uk\/nhs-fife\/wp-json\/wp\/v2\/media?parent=37"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}