Symptom Management Guidelines

B .C. Inter-professional Palliative Symptom Management Guidelines, 2019


This version (March 2019) of the guidelines has been modified in the following ways:

  • Edited to ensure current hyperlinks as of March 2019
  • Inclusion of an opioid equianalgesic dose conversion table (under “Extra tools” in the Pain guideline). A link to the BC Guidelines medication tables has been included as well.
  • Decrease of maximum daily dose of Diclofenac and caution for cardiovascular impairment as recommended by Health Canada (in the Medication table in the Pain guideline)
  • Correction of typographical errors
  • Addition of “current date” for printed version

Other suggested changes were determined to be non-urgent in nature and will be recommended for consideration at the next major revision.

These best practice guidelines are a result of a collaboration of the following organizations: The BC Centre for Palliative Care, Fraser Health, First Nations Health Authority, Interior Health, Island Health, Providence Health, Vancouver Coastal, and Northern Health.

These guidelines are intended for inter-professional clinicians working with adults living with advanced life-limiting illness. Though these guidelines were created for adults, the symptoms may also be experienced by children with advanced illness. See additional resources within each guideline specific to pediatrics, illnesses such as cancer, and your organization / region.

  • Interactive pdf – Click on link to save a copy to your computer. Then open the copy to use the interactive features. Size: 10MB. Note: File is large so saving it may take a few minutes depending on the speed of your internet connection. New version effective March 15th 2019.
  • Printable versions – Click here to print the individual sections separately or view them online. Updated printable versions will be available by March 27th.

To provide feedback, please contact: Kathleen Yue, Clinical Lead, Education,