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More show more. Common symptoms at end of life may include pain, nausea, constipation, breathlessness and fatigue. Most palliative care medication is supported by the Pharmaceutical Benefits Scheme. Ask your doctor questions if there is anything you do not understand. Pain management is a key part of end of life and palliative care. If your pain is well managed, you will have a better quality of life. You are likely to sleep better and have more energy during the day. If you feel less pain, you can be more active, which also reduces your risk of complications.
We all feel discomfort in different ways and people experience pain differently. Not all people who need palliative care suffer ongoing pain. Managing pain with pain medication Pain relievers or analgesics are used frequently in end of life and palliative care. Always follow the instructions for taking your pain medication. Talk to your doctor or pharmacist if your medicines lose their ability to reduce your pain or are causing side effects.
This can occur if you are taking pain relief medications for a long time. Let your doctor know if you are taking or are about to take any over-the-counter medication, herbal remedies or natural supplements as they may react with other medication you take. Keep a good supply of your pain medication on hand so you do not run out. Side effects of pain medication Pain medication can cause side effects but most of these are temporary or can be managed easily.
Side effects of pain medication include constipation, nausea and vomiting, drowsiness or confusion, dry mouth or itchy skin. Speak to your doctor or palliative care team if any of these side effects occur. Concerns about opioid use for pain management Opioids such as morphine are prescribed for some types of pain that do not respond to milder medicines. Managing pain using complementary therapies and self-management techniques You can lower your everyday levels of pain by learning some self-management techniques and using complementary therapies.
Helpful therapies may include: heat or cold used safely — heat packs can aid relief of chronic musculoskeletal pain. An icepack can be used to help reduce swelling immediately after an injury, such as after a fall physical therapies — walking, stretching and muscle strengthening exercises may help relieve pain. Physical activity can also help you maintain mobility and improve your mood. Hypnotherapy can also help to ease some of the side effects of cancer treatment, such as nausea massage —soothes muscles, encourages relaxation and increases circulation to the area being massaged meditation — the deliberate clearing of the mind to bring about feelings of calm and heightened awareness.
The regular practice of meditation offers many long-term health benefits, such as reduced stress and blood pressure tai chi — a Chinese form of non-combative martial arts that consists of gentle movements to clear the mind and relax the body yoga — an ancient Indian system of postures that are done in time with the breath mindfulness — techniques in meditation and other attention exercises to assist your wellbeing acupuncture — this ancient form of Chinese medicine involves inserting and stimulating fine needles into specific points of the skin.
Scientific studies have proven acupuncture to be an effective treatment in some pain syndromes, but there is little research into cancer pain.
Talking to your GP or palliative care team about pain The palliative care team and your GP work together to enhance your quality of life. The GP or palliative care team will ask you: Where is the pain? How long has the pain has been there? What type of pain is it — sharp, tingling or aching? Is it a new type of pain? Is the pain persistent, or does it come and go?
Have any other lifestyle changes occurred? Do you feel like vomiting? When did you last have a bowel movement? Constipation can cause pain. How would you rate the pain on a scale of one to ten?
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Keeping a pain diary If you are having difficulty keeping track of when your symptoms occur, it is a good idea to use a pain diary. By recording your pain every time it occurs, your healthcare team can chart the changes and make sure your medications are working correctly. Medication charts are also useful tools. They can help you to remember to take your medication, take the right dose, and chart changes and progression of your symptoms.
Ask your GP or palliative care team about using a medication chart.
Talk to your doctor or palliative care provider about setting up a pain diary or medication chart. Alternatively, you could download a pain diary from the Pharmacy Guild of Australia. Managing nausea You have nausea when you feel the urge to vomit or just feel sick. Managing constipation Constipation occurs when your bowels do not open for several days. Treating constipation If you have not had a bowel action for several days longer than usual, speak with your palliative care team, who will set up a plan specific to your needs.
Treating constipation may include: dietary changes — such as increasing the amount of fibre in the daily diet more fluids — liquids help to plump out faeces, however, it is important to restrict the intake of diuretic drinks such as tea, coffee and alcohol fibre supplements — these may be helpful if you are reluctant or unable to include more wholegrain foods, fresh fruits or vegetables in your daily diet exercise, if able — one of the many benefits of regular exercise is improved bowel motility removal of the impacted faeces — which may involve enemas, stool softeners and a short-term course of laxatives.
Managing breathlessness Breathlessness is an unpleasant feeling of having difficulty breathing. Managing fatigue Fatigue is very common in people with life-limiting illness. The following strategies may help manage fatigue: Have short naps during the day. Do some regular gentle exercise. Have nutritious food and drinks. Plan the most energetic tasks such as having a shower or bath when your energy levels are higher. Take up a hobby that does not require a lot of energy. For example, board games, talking books, listening to the radio or watching television or videos.
If you think your fatigue has become worse, speak with your GP or palliative care team. Ask questions about managing your pain and other symptoms Asking questions not only helps you understand what is happening with your condition but also helps you make decisions relating to your care. Send us your feedback. Rate this website Your comments Questions Your details. Excellent Good Average Fair Poor. Next Submit Now Cancel. Please note that we cannot answer personal medical queries.
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Enter your comments below optional. Did you find what you were looking for? Yes No. Email Address. Submit Now Cancel. Thank you. Your feedback has been successfully sent. Browse end of life and palliative care topics. End of life and palliative care services End of life and palliative care for all communities Support for family and carers Practical Care to assist family and carers Living with a life-limiting condition Planning and decisions about end of life At the end — dying explained Grief, loss and bereavement End of life and palliative care services End of life and palliative care explained Palliative care helps improve the quality of life for a person with a life-limiting illness, as well as the lives of their family, friends and carers, through advice, information, referral and support Accessing a palliative care service Find out how you can access palliative care for medical treatment, emotional support and practical help to maintain your quality of life for as long as your condition allows End of life and palliative care at home Some people prefer having palliative care at home because of the familiar environment, feeling of independence and close access to family, friends and the local community Who's who in a palliative care team The members of your palliative care team may include doctors, nurses, allied health professionals, volunteers and carers Palliative care in a hospital or community residential home You can have inpatient palliative care in a hospital or a specialist inpatient palliative care unit Palliative care for all communities Palliative care services for Aboriginal and Torres Strait Islander people There are culturally sensitive palliative care services that will help you and your family Palliative care for culturally and linguistically diverse communities There are culturally sensitive palliative care services that will help you and your family End of life and palliative care for children, teenagers and young adults Palliative care for children provides physical, emotional, social and spiritual support to newborns, infants, children and young people with a life-limiting condition and their families End of life and palliative care for older Victorians If you are living with a life-limiting illness, end of life and palliative care services can be provided to you at home End of life and palliative care for people living with a disability End of life and palliative care for Victorians living with a disability can be provided at home, in specialist disability accommodation, in residential aged care or in an inpatient facility at a Support for family and carers Providing end of life and palliative care for someone at home Some people prefer having palliative care at home because of the familiar environment, feeling of independence and close access to family, friends and the local community From Wikipedia, the free encyclopedia.
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Categories : Pharmacy. Namespaces Article Talk. Views Read Edit View history. ORS with zinc was the most frequently dispensed medication The results from the qualitative study depicts an in-depth analysis of barriers that hinders community pharmacists to effectively implement management of minor ailments their practice settings. Eight of the participants were holders of a bachelor degree in pharmacy and the rest of them 5 hold a diploma in pharmacy, with a work experience ranging from 2 year to 15 years with average of 7 years. Results showed that lack of clinical training and poor community awareness towards the role of community pharmacists in the management of minor ailments were the main barriers and challenges faced by community pharmacists.enter site
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Almost all of the participant mentioned lack of training as the most barriers that hinders to provide quality management of minor ailments in community pharmacy settings. According to the participants, much of the clinical trainings are usually provided for health care providers having a direct contact with patients in hospitals such as physicians and nurses, with only few community pharmacists had the chance to take syndrome approach clinical training. I have taken , by chance , a symptomatic approach-based clinical training a couple of years ago and it helped me a lot for the management of common ailments in my practice.
However , most of the community pharmacists I have known in Gondar have not taken such training , which I believe , could be the main reason behind the poor management of minor ailments in many pharmacies and drug stores….