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The CARiAD package

CARer-ADministration of as-needed subcutaneous medication for common breakthrough symptoms in home-based dying people in Wales 

The CARiAD package supports willing and able lay carers to administer needle-less as-needed subcutaneous medication for common breakthrough symptoms in the last days of life in people who wish to be at home when they die.

These symptoms are pain, nausea/vomiting, restlessness/agitation, noisy breathing/rattle and breathlessness.

For the purposes of this package, the term ‘lay carers’ refers to family members or friends or other lay carers looking after their loved one at home, and who are not paid to do this work. It includes healthcare professionals acting in the lay carer role for a loved one.



 CARiAD Patient and carer information sheet (PDF, 808Kb)
 CARiAD A guide for carers (PDF, 2.2Mb)
 CARiAD A guide for carers - insert (PDF, 215Kb)
 CARiAD for Covid-19 policy v1.0 20 March 2020 (PDF, 939Kb)
 CARiAD Process Flowchart May 2020 (PDF, 339Kb)
 CARiAD Injection training pack (PDF, 391Kb)
 CARiAD Instruction Sheets (Ampoule) (PDF, 1.2Mb)
 CARiAD Instruction Sheets (Blunt Needle) (PDF, 1.5Mb)
 CARiAD Instruction Sheets (No Needle) (PDF, 1.4Mb)
 CARiAD Case Review Sheet May 2020 (PDF, 225Kb)
 CARiAD Competency Checklist (PDF, 308Kb)
 CARiAD Carer Diary Intervention (PDF, 1.5Mb)
 CARiAD Information for prescribers (PDF, 372Kb)
 CARiAD Process Checklist May 2020 (PDF, 329Kb)
 CARiAD Risk Assessment (PDF, 739Kb)
 CARiAD Regular Clinical Review Guidance May 2020 (PDF, 376Kb)
 CARiAD Structured debrief for carers (PDF, 300Kb)