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Medication Management

This section supports nurses and care workers who support the older people in residential aged care to saely manage medicines for people in the palliative phase1 . It also helps identify and manage possible risks.

There is also a factsheet for residents, their families and friends.

Key messages

  • The person (and, if needed, their family or decision-maker) should have the right information to make choices about their medication and treatment.
  • The person’s wishes should come first. They have the right to say no to medication or treatment.
  • Medication needs and goals should be checked regularly because they will change during the palliative phase.
  • People may get worse quickly in their final stage of life. Planning ahead for sudden changes in symptoms will help ensure they get the right care.
  • The main goal is quality of life. People should have a peaceful and comfortable end of life with as little pain and distress as possible.

Common medication practices in palliative care

  • Reviewing medications – stopping medicines that are no longer needed.
  • Prescribing in advance – having medicines ready to ease pain and symptoms.
  • Withholding or stopping treatments – avoiding treatments that are no longer helpful.
  • Managing pain and symptoms – making sure the person is as comfortable as possible.

Good communication with the person and, where appropriate, their family/support network, helps ensure they feel empowered and supported in their end of life care.