The National Institute of Health and Care Excellence (NICE) have published new guidance for the month of December 2015. An updated version of the Diabetes guideline has already been published. In addition there is one clinical guideline and one technology appraisal that impact upon primary care.
The Care of dying adults in the last days of life guideline covers the clinical care of adults (18 years and over) who are dying during the last 2 to 3 days of life. It aims to improve end of life care for people in their last days of life by communicating respectfully and involving them, and the people important to them, in decisions and by maintaining their comfort and dignity. The guideline covers how to manage common symptoms without causing unacceptable side effects and maintain hydration in the last days of life.
The Ciclosporin for treating dry eye disease technology appraisal recommends ciclosporin eye drops (Ikervis) as a possible treatment for people with dry eye disease that has not improved despite treatment with artificial tears.
Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.