It is good practice to ensure medication is prescribed in anticipation of symptoms present at the End of Life Care. Anticipatory prescribing therefore forms a key part of advance care planning and should be initiated as the patient enters the last few weeks of life.
Patients who are deteriorating and whose preferred place of care and death is either at home or in a care home should have anticipatory medication prescribed by the GP, with the medication, equipment and pink community drug chart, signed by a doctor, in the home / care home ready for use when needed.
Once anticipatory medication has been prescribed this should be communicated to the relevant healthcare professionals involved in caring for patient in the community. This includes the GP, DN, care home staff and Out of Hours GP service.
The above is an extract from our Anticipatory Prescribing guideline.
Anticipatory Prescribing Guideline