Clinical CPD topic
Palliative care: practise, reflect and record
Practise palliative care through five clinical cases, review the explanations and build a professional learning record. Calculate subcutaneous morphine conversion and regular-dose titration from effective rescue use.
First published · Sources checked
What you’ll work on
- Calculate subcutaneous morphine conversion and regular-dose titration from effective rescue use.
- Select opioid treatment in severe renal impairment and adjunctive treatment for painful bone metastases.
- Respond to requests for euthanasia by exploring concerns and discussing palliative support.
Think through a clinical case
Decide how you would approach this case before opening the question session.
A palliative-care patient stable on modified-release oral morphine 120 mg over each 24 hours can no longer swallow. There is no toxicity and renal function is unchanged. Using the usual 2:1 oral-to-subcutaneous morphine conversion, what starting syringe-driver dose is calculated?
A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.
From a decision to a learning record
- Test your reasoning. Answer five questions from this topic’s clinical-content library.
- Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
- Reflect on application. Describe what you learned and what you would change or investigate.
- Review your evidence. Confirm the activity and time spent, then retain or export your professional record.
Primary sources and further reading
Read the source in the same jurisdiction as your question session.
- Zomorph capsules — UK SmPCUK source
- Recommendations | Care of dying adults in the last days of life | Guidance | NICEUK source
- Choosing and changing opioids / opiates | Scottish Palliative Care GuidelinesUK source
- NICE CG81 current2026 chapter:managing uncontrolled local disease and metastasesUK source