Challenges in anticipatory prescribing and syringe drivers: drugs, doses and dose ranges.

Prescribing of “Just in Case” and syringe driver drugs is challenging: most GPs do so relatively rarely and Community Nurses sometimes find that drugs / doses / dose ranges written on MAR (Medication Administration Record) charts are not always what patients need at the end of life. How can we ensure that appropriate drugs are prescribed safely to ensure optimal symptom control?

This interactive workshop will review:

  • Drugs commonly prescribed
  • Deciding doses and dose frequencies for “Just-in-Case” medications.
  • Deciding doses, dose ranges and starting doses for syringe driver medications.
  • Completing MAR charts safely to permit appropriate clinical discretion.
  • Periodically reviewing patient and family understanding of the role of the medications in their care.

This workshop will be led by Prof Stephen Barclay (CCG Clinical Lead for End of Life Care) and Ben Bowers (Community Nurse).

If you have anonymised case studies or MAR charts that you would like to raise for discussion, please send them beforehand to Stephen at