Inclusion criteria:
Published papers presenting empirical research on
the prescribing of injectable medications ahead of
need to control terminal symptoms for adults (aged
18 years and over).
Participants receiving care at home in the
community (including nursing and residential home
care settings).
Peer-reviewed quantitative and qualitative
studies, case studies, audits, and published
conference abstracts.
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Key areas for data extraction:
Descriptions of current practice;
Patient-reported acceptance and views;
Family carer–reported acceptance and views;
Healthcare professional–reported acceptance and
views;
Patient comfort/symptom control (reported by
whom);
-
Evidence for cost-effectiveness, including
impact on:
- Admission avoidance;
- Place of death;
- Healthcare activity;
- Cost of drugs.
Studies published up until May 2017.
English language full text.
Exclusion criteria:
Anticipatory prescribing in non-terminal care
situations.
Prescriptions that do not include injectable
medication.
Children (aged 17 years or under).
Prescribing in hospital, hospice, or prisons.
Papers with no new empirical data, for example,
editorials, opinion papers, or narrative
reviews.
Research examining assisted dying or
euthanasia.
Research examining continuous sedation until
death.
Studies concerning administration of medication
via continuous subcutaneous infusion (syringe
driver).
Grey literature.
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