• Educate family, often more distressed than patient
• Positioning. Avoid suctioning as stimulates cough & distress
• Glycopyrrolate 0.2-0.4mg s/c 15min prn, max 6 doses 24 hours
• Buscopan 20mg SC PRN/4hourly
• If patient distressed by it, may need some sedation

• Artificial Saliva
• Suck on ice / frequent mouthwash with water
• Sugar free pineapple pieces
• Frozen lemon slices
• Frozen tonic water
• Chewing gum

• Educate family/carers
• Fluid restriction for fluid overload
• Fan to provide air movement
• Morphine 1 – 2.5 mg SC or orally if opioid naïve
• Slow release opioids with specialist advice
• O2 subject to assessment

• Education, warn that effective management involves sedation
• Clonazepam  0.25-0.5 mg nocte orally
• Midazolam 2.5mg SC 1/24/prn

• Metoclopramide 10 mg PO TDS

·       Haloperidol  0.5 – 1.0 mg  SC 1/24 prn

• Education of family
• Sometimes a trial of steroids

• Education of family
• Graded activities – energy conservation/utilisation
• Sometimes a trial of steroids

• Education, sleep hygiene, individual needs
• Trial Temazepam 10-20mg nocte

• Education, identify treatable causes i.e. pain, constipation
• Haloperidol 0.5 – 1.0 mg 1/24 prn
• Clonazepam 0.25 – 1 mg nocte
• Midazolam 2.5 – 5 mg SC hrly/prn

• Recommend daily visit by Health Clinic at end stage

Organise equipment through Disability or Territory Palliative Care

Syringe Driver available if needed via TPC

Allow time for transport of equipment and medication to community

• TPC Afterhours emergency advice/support  1800 642 713