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Society guideline links: Palliative care

Society guideline links: Palliative care

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately:

(See "Society guideline links: Bowel obstruction".)

(See "Society guideline links: Cancer pain".)

(See "Society guideline links: Colorectal cancer".)

(See "Society guideline links: Constipation".)

(See "Society guideline links: Dyspnea".)

(See "Society guideline links: Hepatocellular carcinoma".)

(See "Society guideline links: HIV treatment in nonpregnant adults and adolescents".)

(See "Society guideline links: Neuropathic pain".)

(See "Society guideline links: Ovarian, fallopian tube, and peritoneal cancer".)

(See "Society guideline links: Pancreatic cancer".)

(See "Society guideline links: Cognitive impairment and dementia".)

(See "Society guideline links: Heart failure in adults".)

(See "Society guideline links: Parkinson disease".)

(See "Society guideline links: Management of bone metastases in solid tumors".)

(See "Society guideline links: Palliative care for advanced lung disease".)

(See "Society guideline links: Intensive care unit ethics".)


International Association for Hospice and Palliative Care (IAHPC): The manual of palliative care, 3rd edition (2013)


BC Guidelines: Guidelines on palliative care

Choosing Wisely Canada: Palliative care – Five things physicians and patients should question (2020)

Canadian Hospice Palliative Care Association (CHPCA): A model to guide hospice palliative care – Based on national principles and norms of practice, revised and condensed edition (2013)

CHPCA: Pediatric hospice palliative care – Guiding principles and norms of practice (2006)

United States

American Academy of Hospice and Palliative Medicine (AAHPM): Quality guidelines, standards, and measures

National Hospice and Palliative Care Organization (NHPCO): Position statements

American Academy of Neurology (AAN): Clinical guidance in neuropalliative care – Position statement (2022)

United States best practice guidelines for primary palliative care in the emergency department (2021)

American Society of Clinical Oncology (ASCO): Resource-stratified practice guideline on palliative care in the global setting (2018)

National Coalition for Hospice and Palliative Care (NCHPC): Clinical practice guidelines for quality palliative care, 4th edition (2018)

ASCO: Consensus guideline on patient-clinician communication (2017)

ASCO: Clinical practice guideline on integration of palliative care into standard oncology care, update (2016)

Choosing Wisely: Don't initiate non-curative radiation therapy without defining the goals of treatment with the patient and considering palliative care referral (2014)

Choosing Wisely: Don't delay basic level palliative care for women with advanced or relapsed gynecologic cancer, and when appropriate, refer to specialty level palliative medicine (2013)

Choosing Wisely: Don't delay engaging available palliative and hospice care services in the emergency department for patients likely to benefit (2013)

Choosing Wisely: Don't delay palliative care for a patient with serious illness who has physical, psychological, social or spiritual distress because they are pursuing disease-directed treatment (2013)


European Association for Palliative Care (EAPC): National guidelines in palliative care

United Kingdom

National Health Service Scotland (NHS Scotland): Scottish palliative care guidelines

National Institute for Health and Care Excellence (NICE): Quality standard on end of life care for adults (2011, updated 2021)

NICE: Guideline on end of life care for adults – Service delivery (2019)

NICE: Guideline on end of life care for infants, children, and young people with life-limiting conditions – Planning and management (2016, updated 2019)

NICE: Quality standard on end of life care for infants, children, and young people (2017)

Choosing Wisely UK: British Society for Antimicrobial Chemotherapy – Discuss the use of antibiotics with patients who are close to the end of life (2016)

Choosing Wisely UK: Faculty of Intensive Care Medicine – Life support for patients at high risk of death or severely impaired functional recovery should not be offered. A discussion with patients and their families should focus on the goals of comfort care (2016)

Choosing Wisely UK: Royal College of General Practitioners – When patients are particularly frail or in their last year of life, unless there is a clear preference otherwise by the patient or advocate, discuss with the patient and family/carers the option of decreasing the number of medicines to only those used for control of symptoms (2016)

NICE: Clinical guideline on palliative care for adults – Strong opioids for pain relief (2012, updated 2016)

NICE: Guideline on care of dying adults in the last days of life (2015)


Indian Academy of Pediatrics (IAP): Consensus statement on end-of-life care (2017)

Australia-New Zealand

Palliative Care Australia (PCA): National palliative care standards, 5th edition (2018)

Choosing Wisely Australia: Do not delay discussion of and referral to palliative care for a patient with serious illness just because they are pursuing disease-directed treatment (2016)

Choosing Wisely Australia: Don't initiate and continue medicines for primary prevention in individuals who have a limited life expectancy (2016)

Choosing Wisely Australia: Stop medicines when no further benefit will be achieved or the potential harms outweigh the potential benefits for the individual patient (2016)

Choosing Wisely Australia: Target referrals to bereavement services for family and caregivers of patients in palliative care settings to those experiencing more complicated forms of grief rather than as a routine practice (2016)

Choosing Wisely Australia: For emergency department patients approaching end-of-life, ensure clinicians, patients and families have a common understanding of the goals of care (2015)

Australian and New Zealand Intensive Care Society (ANZICS): Statement on care and decision-making at the end of life for the critically ill (2014)


[In Japanese] Japanese Society for Palliative Medicine (JSPM): Guidelines

[In Japanese] Choosing Wisely Japan: Palliative care support during serious illness (2015)

Topic 119531 Version 17.0