Symptom management of Covid-19

Please see below for links to some useful resources you may find helpful when looking after palliative care patients.


As health professionals it can sometimes be difficult to recognise those patients who might be approaching the end stages of their illness.

Identification can help to guide conversations and clinical decision making. Within North Lincolnshire, we would encourage professionals to use the Gold Standards Framework Proactive Indicator Guide©


There are some useful holistic assessment tools that are available and in use at Lindsey Lodge Hospice.

The Integrated Palliative Care Outcome Scale (IPOS)©

Clinical Management

Palliative Drugs

A useful resource widely used within the Palliative Care community worldwide. Contains compatibility data for syringe drivers, online links to the palliative care formulary (charged) and sharing of clinical practice. Requires login (free to join):

Opioid conversion  

There are a number of opioid conversion charts freely available on the internet from reputable sources and within the Palliative Care Formulary:

Clinical judgement is required when converting from one opioid drug to another, taking into consideration a number of factors. Please seek specialist advice if you require further support.