Early conversations and shared decision making key in end of life prescribing

Early conversations and shared decision making are key when it comes to prescribing antibiotics at the end of life, according to a series of good practice recommendations developed by SAPG and a multi-professional group of experts from across all health and care settings.

The recommendations are based on evidence from a literature review and a survey of prescriber attitudes and behaviours. They focus on a shared decision making approach and the need for early conversations with patients and their families about the benefits and risks of antibiotics towards the end of life.

The recommendations will support clinicians in hospital and community healthcare settings as well as teams in care homes to use antibiotics rationally.
A patient information leaflet is being developed to provide information about the recommendations to support patients, families and carers to contribute to decision making when antibiotics are being considered towards the end of life.

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