Specialist Palliative Care Audit and Guidelines Group (SPAGG)

SPAGG are a multidisciplinary group of Palliative Care Specialists and End of Life Care clinical leaders working in Birmingham, Solihull, Sandwell, Wolverhampton and Walsall. They produce evidence based guidance on clinical care, pathways and service provision. They also plan and co-ordinate regional audit relevant to Specialist Palliative and End of Life Care and provide opportunities for research collaboration at our local level. Contact: spaggroup@outlook.com

Please click on the links below to download the SPAGG files.

Algorithm for use of ALFENTANIL for pain in renal impairment

Management of major BLEEDING in palliative patients

DIABETES management in palliative care

FEED AT RISK Guideline

Algorithm for use of FENTANYL for pain in renal impairment

Guideline for use of FUROSEMIDE via subcutaneous infusion

Guideline for managing HYPERCALCAEMIA in palliative patients

Deactivation of implantable cardioverter defibrillators (ICD) towards the end of life 

Use of LEVETIRACETAM via subcutaneous infusion

LEVITERACETAM quick guide

Use of METHADONE for adults with pain in palliative care

Guidelines for the Use of NALOXONE in Palliative Care Adult Patients

Prescription Administration and Monitoring of OXYGEN THERAPY in the Hospice Setting

Use of PARECOXIB in palliative patients

SPAGG REFERRAL form

SUBCUTANEOUS HYDRATION in palliative care

Assisted VENTILATION WITHDRAWAL in hospital in palliative patients

Guideline for the use of primary prophylaxis of venous-thromboembolic events (VTE) in palliative patients

DISCLAIMER

These Guidelines are intended for use by healthcare professionals and the expectation is that they will use clinical judgement, medical, and nursing knowledge in applying the general principles and recommendations contained within.
Recommendations may not be appropriate in all circumstances and the decision to adopt specific recommendations should be made by the practitioner taking into account the
individual circumstances presented by each patient and available resources.
While SPAGG takes every care to compile accurate information , we cannot guarantee its correctness and completeness and it is subject to change. We do not accept responsibility for any loss, damage or expense resulting from the use of this information.