The Lien Centre for Palliative Care (LCPC) is pleased to host an
electronic palliative care handbook, SG Pall eBook, with the objective
of making basic palliative care information and
knowledge available to the health care professionals in Singapore.
LCPC’s educational mission is to deliver high quality, palliative care
education at the generalist level to meet the growing palliative care
service needs locally and regionally.
This eBook has been created by practicing palliative care doctors and
nurses in Singapore. The content is most appropriate for doctors,
nurses, and allied health care professionals who encounter patients with
palliative care needs in their practice.
The information presented in this SG Pall eBook is correct at point
of publishing and is made available in good faith, derived from sources
believed to be reliable and accurate at the time of release for
educational purposes only. While we do our best to keep the information
up-to-date and accurate, with rapid advances in the medical field, new
information might be available that is not reflected here. As such, LCPC
does not purport information on this website be complete or updated at
The SG Pall eBook includes an opioid conversion tool. This tool is
designed to facilitate the rational conversion of one opioid regimen to
an approximately equi-analgesic dose of another. The authors have
strived to ensure that the information included in this programme
reflects the current level of knowledge regarding opioid conversions and
it must be noted that the dosages and conversion ratios in this Opioid
Conversion Calculator are based specifically on the Singaporean patient profile
and common local practices. In Singapore, we have a multicultural
society with 4 major ethnic groups; Chinese, Malays, Indians and
Eurasians. While we have taken every measure to harmonize the ratios
across local institutions, the user must recognize that usage can vary
from case to case due to varying institutional practices, and opioid
conversion being subject to inter-individual variability.
Users of the Opioid conversion calculator should be limited to practicing health care professionals
who prescribe or advice on prescribing opioids. As with any clinical
tool, health care professionals must use the information provided within
the context of each individual patient. In case of conflict or doubt, please consult a palliative care specialist for further advice. It is the user's responsibility
to integrate the information from the opioid calculator with clinical
knowledge of his or her patient and after review of product information
of the medication. In no circumstance should any
information in this opioid calculator be deemed, relied on or
interpreted as medical advice, diagnosis or treatment in relation to the
treatment of a patient. Any advice, diagnosis or treatment for any
particular patient and the prescription of opioid dose remains the
ultimate responsibility of the prescribing physician.
LCPC and the development team are not responsible for how
providers use the information in the SG Pall eBook (including the use of
the Opioid Conversion Calculator).
LCPC specifically disclaims all warranties with respect to this SG
Pall eBook and any of its contents, whether expressed or implied,
including, but not limited to, the accuracy, suitability, functionality,
reliability, completeness, security and timeliness of any contents in
this eBook and the Opioid Conversion Calculator. We encourage you to
contact the author or publisher of the measurement tool you are
interested in to verify the same and to abide by any copyright
restrictions or requirements for permission from the author(s) and/or
publishers to use any measures not lawfully in the public domain.
The pages and other materials supplied in the eBook are provided "as
is" and without warranties of any kind. LCPC cannot guarantee protection
from viruses any other items of a destructive nature. When using this
website and the tool therein, please take precautions to ensure you have
up to date anti-virus software installed. LCPC cannot guarantee
compatibility with the web browser or other software you may use. There
is no guarantee that this website will be available on an on-going
basis, and the provision and/or availability of the tool may be
subjected to periods of interruption or poor performance and may be
terminated at any time.
To the maximum extent permitted by law, National University of
Singapore (NUS) and LCPC and their respective directors, officers,
employees and agents exclude all liability for any loss or damage
(including, without limitation, direct, indirect, special, incidental or
consequential loss or loss of profits) that the user suffers arising
under contract, tort (including negligence), equity, statute or other
cause of action, or otherwise as a result of using or relying on any
information, content product or services contained in this eBook.
Further, LCPC does not assume any responsibility for failure or delay in
updating or removing the information contained on this eBook.
Further, the user agrees to indemnity and hold NUS/LCPC and their
respective directors, officers, employees and agents harmless from and
against any action, claim, loss, damage or expense in relation to or
arising from your use of this eBook.
The contents of these terms and conditions shall at all times be
governed and interpreted in accordance with the laws of Singapore and
the user irrevocably and unconditionally submits to the non-exclusive
jurisdiction of the Courts of Singapore.