Care of adults in the last days of life: summary of NICE guidance

What you need to know Seek support from more experienced staff, including those in palliative care services, if you are unclear about any aspect of care of the dying adult, including the recognition of dying and symptom management Assess for and treat any reversible causes of distressing symptoms or signs in people in the last few days of life-for example, uncontrolled pain or dehydration causing agitation Regularly review the care plan (usually daily), discuss any changes with the dying person and those important to the person; make clear documentation in the medical notes In 2013, the UK Department of Health called for the abolition of the Liverpool care pathway, which was designed to bring a standard of care for the dying from the hospice sector into other settings. [Based on the experience and opinion of the committee.] The General Medical Council guidance on end of life care also provides advice on communication and shared decision making and is a useful resource for junior doctors. 3 Maintaining hydration Support dying people to drink (water, tea, fruit juice, or other favourite drink) if they wish and are able to.