Pain and Symptom Management Resources



Breathlessness Educational Support for Nurse Led Intervention Program

COPD Recommendations, Canadian Thoracic Society

Evidence-Based Toolkit for Breathlessness Management, Peel Regional Cancer Program Credit Valley Hospital

Evidence-Based Toolkit for Health Care Professionals on Breathlessness Management, Peel Regional Cancer Program

Managing Your Breathing, Peel Regional Cancer Program



Drug Product Search, Health Canada

Drugs Used in Palliative Care (palliativedrugs.com)

Health Canada Drug Interaction Checker

Institute for Safe Medication Practices in Canada (ISMP)

Ontario College of Pharmacists

Methotrimeprazine – HPC Tip of the Month

Natural Medicines Database

Ontario Drug Benefit Program – Individual Clinical Review – Exceptional Access

Ontario Drug Benefit Program – Telephone Requests for Physicians for Exceptional Access



Accreditation Pain Standard (Canadian Pain Standard), Canadian Pain Society

Assessing Pain in Older Adults with Dementia, Alzheimer’s Association

Assessment and Management of Pain Best Practice Guideline (RNAO)

Long Term Care Best Practices re Pain (RNAO)

Long Term Care Best Practices Toolkit (RNAO)

Pain Assessment, Cognitively Impaired – A. Brignell, article

Pain Assessment – Pediatric (7-12 years) from Hospital for Sick Children- Memorial Symptom Assessment Scale   

Cancer Breaththrough Pain and Rapid Onset Opioid – JBMH Palliative Pearl

Fentanyl Patches – ISMP Canada Safety Bulletin

Fentanyl ISMP Equianalgesic Mar. 8, 2010

Guidelines for Developing a Pain Management Program

Opioid Myths #1 – HPC Tip of the Month

Opioids Myths #2 – HPC Tip of the Month

Opioid Toxicity – HPC Tip of the Month


Pain Assessment Tools for Cognitively Impaired

Pain Care


Pain Management for Older Persons

Pain Management of Persistant Pain in the Elderly Consensus Statement

A Practical Guide for the Clinician – Neuropathic Pain

Pain SBAR Report

Long Term Care SBAR Report to Physician

Subcutaneous Indwelling Access Sample Protocol

World Health Organization Analgesic Stepped Approach


Palliative Sedation

Palliative Sedation Guidelines, Alberta Health Services

End of Life Online Curriculum, Standford University

National Guideline Clearinghouse, U.S. Department of Health & Human Services

Palliative Sedation and Nursing, Journal of Hospice and Palliative Nursing 2007

Palliative Sedation, Capital Health, Alberta

Palliative Sedation Protocol, Champlain Region, June 2010

Palliative Sedation Therapy – Sample Policy

Palliative Sedation Therapy Education Presentation

Sedation Scales:

Terminal Sedation – JBMH Palliative Pearls


Other Symptoms

Access to Palliative Care Articles from Palliative Care Matters (UK)

American Geriatrics Society

Cancer Care Ontario – Collaborative Palliative Care Plans

Cancer Care Ontario Symptom Management Tools – Anxiety, Appetite, Bowel, Delirium, Depression, Dyspnea, Fatigue, Nausea & Vomiting, Oral Care, Pain

DNRC Form – Example Only

DNRC Form – How to Order

Edema – HPC Tip of the Month

Edmonton Zone Palliative Care Program

ESAS r – Edmonton Symptom Assessment System

ESAS Patient Instructions

Growth House Professional Resources

Health Promotion Information with links to other topics including cancer

Hydration Management – Policy and Procedure


Lymphedema Informaton from CarePartners:


Knowledge Transfer Department Institute for Clinical Evaluative Sciences (ICES – data on Health Care)

Liverpool Care Pathway

Long Term Care Best Practices Toolkit, 2nd edition

Long Term Care Homes Publication, Government of Ontario

Malignant Spinal Cord Compression – HPC Tip of the Month

Mayo Clinic

Media Watch by Barry Ashpole

Memorial Sloan Kettering Cancer Centre

Myoclonus – HPC Tip of the Month

National Comprehensive Cancer Network (US)

National Council for Palliative Care (UK)

Palliative Care Program in Edmonton – Clinical information

Performance Improvement Model

Performance Improvement -International Society for Performance Improvement

Palliative Performance Scale (PPS)

Problem Identification Tool, Mississauga Halton Community Care Access Centre

PSW Pocket Docket – Backrub

PSW Pocket Docket – Flyers

PSW Pocket Docket – Sleep Hygiene

PSW Pocket Docket – Towel Bath

Radiation Therapy – JBMH Palliative Pearls

RNAO Best Practice Guidelines

SBAR Palliative Reporting

SBAR Pain Report

Long Term Care SBAR Report to Physician

Sedation Scales:

Sexuality and Intimacy in LTC

South Western Ontario Heathline

Subcutaneous Indwelling Access Sample Protocol

Symptom Management Kit, Mississauga Halton

Symptom Management Kit, Central West

Thrush – HPC Tip of the Month

Terminal Sedation – JBMH Palliative Pearls