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Ministry of Health
BCGuidelines.ca - By BC Physicians, for BC Physicians

Palliative Care

Guidelines (in HTML) Printable Documents (PDF)
Palliative Care for the Patient with Incurable Cancer or Advanced Disease - Part 1: Approach to Care (2010) Full Guideline (PDF 1.1M)
Appendix A: Palliative Performance Scale (PDF 235K)
Appendix B: Possible Investigations and Interventions (PDF 210K)
Appendix C: Edmonton Symptom Assessment System (ESAS) (PDF 368K)
Appendix D: Indications for Referral to a Specialist (PDF 222K)
Appendix E: Cancer Management Flow Sheet (PDF 137K)
Appendix F: Contents of typical home drug kit & medications that may be given by SC route (PDF 215K)
Palliative Care for the Patient with Incurable Cancer or Advanced Disease - Part 2: Pain and Symptom Management (2011) Full Guideline (PDF 2.6M)
Pain (PDF 604K)
Dyspnea (PDF 477K)
Nausea and Vomiting (PDF 672K)
Constipation (PDF 360K)
Delirium (PDF 364K)
Fatigue and Weakness (PDF 564K)
Depression (PDF 587K)
Palliative Care for the Patient with Incurable Cancer or Advanced Disease - Part 3: Grief and Bereavement (2011) Full Guideline (PDF 1.3M)
Appendix A - Screening Tools for Measuring Distress (PDF 1.3M)
Appendix B - Cultural Diversity and Individual Preferences (PDF 143K)
Appendix C - Children and Death (PDF 156K)
Appendix D - Normal Manifestations of Grief (Patient Handout) (PDF 160K)
Appendix E - Bereavement Risk Assessment Tool (PDF 59K)
Appendix F - Bereavement Algorithm (PDF 143K)
Appendix G - Guide to Bereavement Assessment and Support (PDF 160K)
Appendix H - Caregiver Questionnaire (PDF 148K)
Appendix I - Distinguishing Grief and Depression (PDF 151K)
Appendix J - Grief and Bereavement Guideline Resource Links (Patient Handout) (PDF 144K)
Appendix K - Be Gentle with Yourself (Patient Handout) (PDF 149K)

Disclaimer The Clinical Practice Guidelines (the "Guidelines") have been developed by the Guidelines and Protocols Advisory Committee on behalf of the Medical Services Commission. The Guidelines are intended to give an understanding of a clinical problem and outline one or more preferred approaches to the investigation and management of the problem. The Guidelines are not intended as a substitute for the advice or professional judgment of a health care professional, nor are they intended to be the only approach to the management of clinical problems.  We cannot respond to patients or patient advocates requesting advice on issues related to medical conditions. If you need medical advice, please contact a health care professional.