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About the service

This service provides clinical advice and support to clinicians managing patients with a terminal illness where:

  • Symptoms are difficult to manage
  • Advice is sought on prognosis and the appropriate ceiling of care
  • Support is required regarding medications to help with end of life care.

Areas of advice and support provided by the service include:


  • Suggestions for pharmacological and non-pharmacological management of symptoms such as pain, nausea and dyspnoea
  • Advice on probable prognosis and expected course of illness
  • Discussion related to ceiling of care
  • Suggestions for further investigations to either better understand symptoms or prognosis


  • Advice on end-of-life care including medication administration, secretion management and oral hygiene
  • Development of a bowel management plan, breathlessness plan
  • Functional assessment with advice on allied health need and pressure area care

Social work

  • Help with Advance Care Planning
  • Discussions and help with utilising support services
  • Counselling for emotional and psychological distress

Occupational therapy

  • Falls prevention advice
  • Oedema management education and management
  • Functional assessments and equipment recommendations
  • Pressure sore prevention and management
  • Energy conservation and fatigue management


  • Medication reviews and optimisation
  • Support with arranging access to restricted medications (e.g. non-PBS and SAS medications)
Last updated: 2 December 2020