This directory is intended as a resource for all healthcare professionals who require information about all palliative care services available for cancer patients and their carers across the Lancashire & South Cumbria Cancer Network (LSCCN). This single directory will guide you to the location and service you require wherever it exists within the LSCCN. Network Specialist Palliative Care Directory Read More →

   The Routes to Success are a series of documents and guides developed by the National End of Life Care Programme which aim to provide the workforce with simple guides to support the implementation of the end of life pathway.  Routes to Success guides have been produced to support staff in many sectors in delivering end of life care and currently the series contains guides for domiciliary care, hostels and for homeless people, care homes, acutes hospitals and for people with learning disabilities. All these guides, supporting sheets and more information around the series can be found on the National End of Life Care Programme websiteRead More →

As you withdraw from the world your brain starts to shut down making you less aware of what is going on around you. You will spend more and more time asleep and may be quite drowsy in the periods that you are awake.  Pain killing medication may contribute to this drowsiness. To loved ones and carers it can look like you are no longer interested in them and this can be hard for them to cope with.  This apparent lack of interest is part of a natural process that you have no control over.  It’s preparing you for death and is often accompanied by aRead More →

It’s easy to concentrate on the physical aspects of dying especially when some of the symptoms you are experiencing can cause a lot of distress. But getting your head around what’s happening to you is sometimes the hardest to deal with. It’s often the hardest part for your carers and loved ones too. You may feel like you’re on a roller coaster ride with your feelings and changes can occur sometimes from minute to minute. Here are some examples that may ring true for you: Feeling angry why is this happening to me? It’s not fair! Why doesn’t somebody DO something? Why doesn’t somebody LISTENRead More →

Whereas most of the body’s organs are hidden inside and we can’t see what’s happening to them, the skin is very visible and shows signs of the dying process. Pressure Sores The reduced blood supply to your skin makes it very vulnerable to damage even with minimum pressure and very gentle handling.  It’s common to get bruising on the skin that can sometimes look quite alarming.  Skin that is in contact with surfaces can develop pressure sores despite excellent skin care from carers and professional staff. As you spend more time in bed you will find a position to lie in that is the mostRead More →

Being in pain is often a big concern for dying people and their carers. Pain is associated with many life limiting conditions and may be something that you have lived with for a long time. You may already be receiving pain killing medications to help control your pain.  This will be reviewed to make sure it is as effective as possible and changes in your medication may be suggested. Sometimes the way you take your pain killing medication may be changed to make it easier for you – for example switching from oral tablets that are hard to swallow to liquid or skin patches orRead More →

Sadly, many people do not find out that they are dying until they run out of time and are too ill to make plans and do the things they want to do.  If people can be identified as likely to die in the next 12 months, there is time to plan ahead. There are lots of things you can do to plan ahead even if you are not ill – just ask yourself ‘what if I was told I had a week to live?’ then think: Will those around me know how best to support me? Will they know about any strong wishes I haveRead More →

Despite advances in medical science, there are many serious illnesses that people can die from. Some of these illness are ‘life limiting’ illnesses – they are known to shorten people’s lives. These types of illnesses include, among others, heart failure, diabetes, liver failure, lung disease, motor neurone disease, multiple sclerosis, HIV/Aids, kidney failure needing dialysis, certain forms of cancer, spread of cancer and recurrence of cancer that has previously responded to treatment. There are many illnesses that people die from that do not necessarily shorten life. A good example of this kind of illness is dementia when sufferers may live for very many years andRead More →

Although living with life-limiting illness can affect many aspects of your life, support, information and advice are available from a variety of sources to help you cope with some of the physical, emotional and practical issues you may face: Managing physical symptoms of your illness  Emotional support for you and your family  Assistance with the practical issues, such as school, college, work and finances Some of the healthcare options available Coping with sudden changes in your condition Here are some sources of help: Your GP Your hospital specialist team  – doctors and nurses Macmillan Cancer Support NHS choices Marie Curie Cancer Care Your faith leadersRead More →

In the last days and hours of life you will usually not feel hungry or thirsty as your body no longer needs water and the energy that food provides. The gut stops working properly so that any food eaten can stay in the stomach for a long time and not be digested. This can be a very difficult time for carers as they have probably spent a lot of time preparing and cooking tempting food and encouraging you to eat to keep your strength up during your illness.  It can be hard to accept that food is no longer required or that the amount ofRead More →