At what point does a consultant, GP, McMillan Nurse etc decide that pain relief via a syringe driver become appropriate? And are they suitable for everyone?
It's ok - I've just asked one of our district nurses, so I now know for sure the answer. The person I'm thinking about, who I thought might benefit from one, is still capable at present of eating, drinking & swallowing, so it may not be necessary just yet, though I'm sure it will be before long.
couple of things
1) as you said, when the patient can no longer swallow medication
2) for someone who is vomiting a lot (for example if they have bowel obstruction being managed in the community)