Palliative care and education
Palliative care at home
A nurse supports comfort and symptom care for a person with a serious illness, following the palliative care plan.
Also known as: end-of-life care at home, comfort care, terminal care. In Urdu: تسکینی نرسنگ معاونت. In Roman Urdu: Ghar par palliative care.
- Needs a doctor’s order
- PNMC Registered Nurse
- About 2 hours per visit
- The nurse’s own price, no fee for families
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Guide version: 5d320ff1e9b1a683 · Clinical review confirmed by the publisher for this version
Publisher-confirmed review:
Review recorded:
Review scope: Clinical nursing information reviewed by PNMC-registered nurses, including service preparation, supplies, family guidance, articles and FAQs.
The publisher confirms this review. Reviewer identities are not published.
Check whether this guide version is current
A version identifies this wording; it is not a certificate of safe care.
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Before the visit
Needs a doctor’s order
-
What the nurse does
PNMC Registered Nurse
-
What the nurse records
What the nurse does
- Observe pain, breathing, nausea, comfort and other planned symptoms
- Give ordered medicines and provide mouth, skin or repositioning care
- Support the family and escalate uncontrolled symptoms or urgent change
Nurses give the care that was booked, within the patient’s care plan. They do not diagnose or prescribe.
What the nurse records
After the care
Symptoms
Care given
Medicines
Skin
Vital signs
Every record also notes how the patient tolerated the care, any advice to see a doctor and a note for the family. The nurse signs it, and you check it together before the visit closes.
Before the visit
Confirm the supplies, quantities and equipment with the treating clinician or an appropriately trained nurse for the patient’s care plan before arranging care.
The family
- Prescribed pain and symptom medicines
What the nurse brings
- Pulse oximeterIf neededFingertip; reads oxygen saturation and pulse together
- Watch or phone timer with secondsIf neededTo count breaths for a full minute and time an observation period
These are the nurse’s own instruments and are never charged.
Used needles, dressings and other clinical waste are sealed and removed safely, and the nurse records how. You can confirm or flag it in the app.
Supplies to confirm
Family, or the nurse if you agree
- Examination gloves
- Disposable apron
- Surgical face mask
- Oral care sponge swabs
- Adult diaper or pull-up
- Disposable underpad
- Wet wipes
- Skin barrier or moisturising cream
- Disposable syringe with needle (3–5 cc)
- Sterile suction catheter (10–14 Fr)If needed
- Clinical waste disposal bag
What to prepare
- Have the current prescription or doctor’s order ready, and add a clear photo of it in the app when you send the request.
- Save the patient’s profile in the app, with allergies, conditions and mobility.
- Have ready: prescribed pain and symptom medicines. Only the family can arrange this.
- Tick the supplies you already have. The nurse can bring what is missing if you approve the amount in the app.
- Check the map pin on the patient’s door, and mention pets, stairs or anything else the nurse should know.
Catalogue supplies to confirm
Catalogue quantities and package sizes are stock estimates, not doses or instructions for dilution, flushing or device selection. Use only the items and amounts confirmed for the patient’s prescribed care plan.
When bookings open, discuss what you already have and agree who will arrange any confirmed missing supplies. Items bought at a medical store are charged at the receipt amount only after you approve the amount.
| Item | Catalogue quantity or pack size | List status | Who provides it |
|---|---|---|---|
| Examination gloves | 4 pairs | Listed | Family, or the nurse if you agree |
| Disposable apron | 1 piece | Listed | Family, or the nurse if you agree |
| Surgical face mask | 2 pieces | Listed | Family, or the nurse if you agree |
| Oral care sponge swabs | 10 pieces | Listed | Family, or the nurse if you agree |
| Adult diaper or pull-up | 3 pieces | Listed | Family, or the nurse if you agree |
| Disposable underpad | 2 pieces | Listed | Family, or the nurse if you agree |
| Wet wipes | 1 pack | Listed | Family, or the nurse if you agree |
| Skin barrier or moisturising cream | 1 tube (60 g) | Listed | Family, or the nurse if you agree |
| Disposable syringe with needle (3–5 cc) | 2 pieces | Listed | Family, or the nurse if you agree |
| Sterile suction catheter (10–14 Fr) | 2 pieces | If needed | Family, or the nurse if you agree |
| Clinical waste disposal bag | 3 bags | Listed | Family, or the nurse if you agree |
| Prescribed pain and symptom medicines | As prescribed | Listed | The family |
Questions about palliative support
More about booking, paying and safety on the families page.
Do I need a doctor’s prescription for palliative support?
Yes. Add a clear photo of the current prescription or doctor’s order when you send the request. Care cannot start until the order has been checked and approved, and the nurse follows it exactly. Nurses do not diagnose or prescribe.
How long does a palliative support visit take?
About 2 hours. This is the typical visit length set for the service.
Who comes to the home for palliative support?
Only a Registered Nurse whose registration has been checked on the official Pakistan Nursing & Midwifery Council (PNMC) register and whose identity has been reviewed by a person.
How much does palliative support at home cost?
Each nurse sets the visit price, which you review before confirming. Supplies are separate and need your approval. Online payments for visits and availability passes are planned but are not available yet. See pricing and the payment process. Only the family can arrange prescribed pain and symptom medicines.
How do I check palliative support availability in my city?
See the city guides and booking availability. Confirm the care tasks, visit hours and coverage at the patient’s address before agreeing a visit.
Not for emergencies
Do not book a home visit for severe difficulty breathing, chest pain, signs of a stroke, heavy bleeding or other emergency signs. Call Rescue 1122 or go to the nearest hospital emergency department now.
Related services
Bedridden patient care: hygiene and comfort at home
A nurse provides hygiene and comfort care for a person who cannot safely get out of bed.
Bedsore and pressure ulcer prevention at home
A nurse checks skin at pressure areas and helps prevent bed sores before the skin breaks down.
Patient and caregiver training at home
A nurse teaches the patient or caregiver how to follow an existing home-care plan more safely.
Bookings are not open yet
Nurse at Home is preparing to launch. Booking availability will depend on verified nurses and operational readiness in your area. Explore city planning guides and published home nursing costs while preparing for care.
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Visit preparation sheet
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Guide version: 5d320ff1e9b1a683 · Clinical review confirmed by the publisher for this version
Publisher-confirmed review:
Review recorded:
Review scope: Clinical nursing information reviewed by PNMC-registered nurses, including service preparation, supplies, family guidance, articles and FAQs.
The publisher confirms this review. Reviewer identities are not published.
Check whether this guide version is current
A version identifies this wording; it is not a certificate of safe care.
Nurse at Home · nurseathome.pk
Palliative care at home
Bookings are not open yet. This information supports planning; it is not medical advice. Follow the care plan agreed with the treating team.
Not an emergency service. In an emergency, call Rescue 1122
- Typical duration
- about 2 hours
- Doctor’s order
- Needs a doctor’s order
- Training requirement
- PNMC Registered Nurse
What the nurse does
A nurse supports comfort and symptom care for a person with a serious illness, following the palliative care plan.
- Observe pain, breathing, nausea, comfort and other planned symptoms
- Give ordered medicines and provide mouth, skin or repositioning care
- Support the family and escalate uncontrolled symptoms or urgent change
Preparation to discuss
Confirm the supplies, quantities and equipment with the treating clinician or an appropriately trained nurse for the patient’s care plan before arranging care.
- Confirm the current prescription or doctor’s order before ordered care.
- Family-only supplies: Prescribed pain and symptom medicines
- Agree the visit time, access arrangements, main contact and handover.
Supplies and equipment
Catalogue supplies to confirm
Confirm the supplies, quantities and equipment with the treating clinician or an appropriately trained nurse for the patient’s care plan before arranging care.
Catalogue quantities and package sizes are stock estimates, not doses or instructions for dilution, flushing or device selection. Use only the items and amounts confirmed for the patient’s prescribed care plan.
- Examination gloves — Catalogue quantity or pack size: 4 pairs; List status: Listed; Who provides it: Family, or the nurse if you agree
- Disposable apron — Catalogue quantity or pack size: 1 piece; List status: Listed; Who provides it: Family, or the nurse if you agree
- Surgical face mask — Catalogue quantity or pack size: 2 pieces; List status: Listed; Who provides it: Family, or the nurse if you agree
- Oral care sponge swabs — Catalogue quantity or pack size: 10 pieces; List status: Listed; Who provides it: Family, or the nurse if you agree
- Adult diaper or pull-up — Catalogue quantity or pack size: 3 pieces; List status: Listed; Who provides it: Family, or the nurse if you agree
- Disposable underpad — Catalogue quantity or pack size: 2 pieces; List status: Listed; Who provides it: Family, or the nurse if you agree
- Wet wipes — Catalogue quantity or pack size: 1 pack; List status: Listed; Who provides it: Family, or the nurse if you agree
- Skin barrier or moisturising cream — Catalogue quantity or pack size: 1 tube (60 g); List status: Listed; Who provides it: Family, or the nurse if you agree
- Disposable syringe with needle (3–5 cc) — Catalogue quantity or pack size: 2 pieces; List status: Listed; Who provides it: Family, or the nurse if you agree
- Sterile suction catheter (10–14 Fr) — Catalogue quantity or pack size: 2 pieces; List status: If needed; Who provides it: Family, or the nurse if you agree
- Clinical waste disposal bag — Catalogue quantity or pack size: 3 bags; List status: Listed; Who provides it: Family, or the nurse if you agree
- Prescribed pain and symptom medicines — Catalogue quantity or pack size: As prescribed; List status: Listed; Who provides it: The family
Equipment to confirm
- Pulse oximeter — The nurse; List status: If needed
- Watch or phone timer with seconds — The nurse; List status: If needed
Questions to confirm
- Which tasks are in the treating team’s care plan?
- Who will arrange the supplies and equipment?
- What is included in the written quote?
- What are the agreed visit time, contact and handover arrangements?
Set by the nurse; agreed before booking. Ask for a written quote covering visit time, travel and supplies.
Source: the maintained Nurse at Home service catalogue. https://nurseathome.pk/services/palliative-care
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