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Guideline

End of life care for infants, children and young people with life-limiting conditions: planning and management

NICE2019NG61, published 7 December 2016, last updated 25 July 2019Over 5 years old
  • Allied health
  • Comfort and nursing care
  • Communicating with families
  • Families and professional practice
  • Family-integrated care
  • Medical
  • Nursing
  • Pain and comfort
  • Palliative and end-of-life care
  • Seizures
  • Wellbeing

This guideline is from 2019, more than five years ago. Check whether a newer version exists and which version your unit follows.

Summary

This NICE guideline (NG61) covers planning and management of end of life and palliative care for infants, children and young people aged 0 to 17 years with life-limiting conditions, including neonates. It emphasises involving children and families in decisions, advance care planning, and emotional and psychological support. It addresses management of distressing symptoms such as pain, agitation, seizures and respiratory distress, hydration and nutrition, recognising imminent death, care at home, and bereavement support for families and professionals. It was updated in 2019 to reflect the reclassification of gabapentin as a controlled drug.

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Guidelines are shown for education. Follow your unit's own guidance and senior advice.

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