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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 all times.
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.
This section gives an overview of the commonly used drugs (EXCLUDING OPIOIDS) to manage symptoms in patients with terminal illnesses. The information includes basic dosage information as well as indications for use and potential side effects. Please note that non-opioid drugs commonly used in palliative care are shown here but the list is NOT exhaustive and neither are the side effects nor indications. Doses are for adults only. Please check with pharmacy colleagues for dose adjustments (if any) in renal or liver impairment. Unless otherwise indicated, use water for injection for dilution in continuous subcutaneous infusions.
- Watson M. Oxford Handbook of Palliative Care. Oxford, NY: Oxford University Press; 2009.