Guanfacine is an alpha-2 adrenoceptor agonist (relatively a2A selective) Like tizanidine, it is oral only and causes less hypotension than clonidine and dexmedetomidine This review examines potential use in delirium; they found case reports/open label series, but no RCTs doi.org/10.1016/j.cc...

Deadline today!

Analogue to digital in the NHS: is the shift within reach? – @healthfoundation.bsky.social podcast with Holly Krelle and Erik Mayer 🧵 NHS Digital Transformation: Bottom-Up Approach Is Key - a well timed podcast after and ePaCCS meeting.

📢 One week to go! 🪧 Train in Palliative Medicine in the United Kingdom 📅 Open 14 Nov 2024 - 5 Dec 2024 ❔ Interviews 25 - 27 Mar 2025 👨‍⚕️ Start 6 Aug 2025 🌐 buff.ly/3Cun9Xj @apmposts.bsky.social #choosepallmed #palliativecare buff.ly/3UXXPPL

Fantastic - the first of many from a great holistic practitioner! 🎉

This BMJ article extends the PRISMA 2020 statement for living systematic reviews (PRISMA-LSR), providing a checklist and flow diagram to ensure transparent, complete, and accurate reporting of these reviews. Nice to see developing methodologies.

Integration of palliative rehabilitation in cancer care: a multinational mixed method study https://palliativeprojects.eu/inspire/ The study examined official documents, conducted stakeholder interviews, and surveyed healthcare professionals. 📄

From Anna Peeler, Oladayo Afolabi & Richard Harding of the Cicely Saunders Institute from earlier this month. Took me back to my International Health days.

From Anna Peeler, Oladayo Afolabi & Richard Harding of the Cicely Saunders Institute from earlier this month. Took me back to my International Health days. https://buff.ly/3Z6qVxE

From Anna Peeler, Oladayo Afolabi & Richard Harding of the Cicely Saunders Institute from earlier this month. Took me back to my International Health days. https://buff.ly/3Z6qVxE

The official Association of Palliative Medicine for UK and Ireland is here! Follow @apmposts.bsky.social for all the APM, end of life and palliative tea from UK & Ireland #palliative #EOL

UK hospices: fairness, funding, fit | BMJ Supportive & Palliative Care The editorial discusses funding challenges faced by the UK #hospice sector, emphasizing the need for financial security and equitable palliative care.

A lovely concert to attend, well done to all! 👏🏽

Scotland's internal medicine simulation strategy, detailed in this article, outlines a five-year journey to enhance physician training over the 3 years of IMT. It focuses on immersive simulation, communication workshops, & procedural skills mastery.

Thank you! And we wonder why students, StRs and SAS doctors - let alone other professionals - are unable to get the first rung on the ladder with research. Research activity = research implementation =high quality care

Post-doctoral researcher with palliative and end of life interests and qualitative / mixed methods skills? Come and work with us in the dynamic PELi_Cam Group at @cambridgeuni.bsky.social Leading on some excellent studies Job details: www.jobs.cam.ac.uk/job/49229/ Full-time to 80% FTE post

"#Palliativecare service provision and use among 2SLGBTQIA + individuals: a scoping review" highlights challenges and inequities faced by the population, including discrimination, disenfranchised grief, and a lack of provider training on their specific needs.

@nuffieldtrust.bsky.social have written a summary of the dire state of #socialcare in England, emphasising the need for a comprehensive strategy to address long-term financial challenges, workforce shortages, and provider instability. https://buff.ly/3NrpIeU

A new report from NHS Providers discusses how NHS digital transformation is hindered by budget constraints, operational pressures, and inadequate IT infrastructure. If we want things to runs smoothly, getting this right is a big win.

Thank you. Describing the social impact value of these services is crucial, so we can generate a model fit for the middle section of this century.

In collaboration with @EAPCvzw Task Force on Care for the Dying, our #webinar on Thu 28 November features Prof @semple_cherith discussing the unique needs of children facing the loss of a parent. Register: bestcareforthedying.org/webinars #BestCareForTheDyingPerson #PalliativeCare #EoLC

It certainly sparked a lot of conversation with our team, thanks for facilitating it.

@nhsemployers.bsky.social have issued guidance on how organisations in England can establish and introduce #specialist roles within their medical and dental workforce, aiming to attract, recruit, and retain senior doctors.

#hapc #palliative #oncology

Rising non-communicable diseases & aging populations in Indonesia increase palliative care needs. This ethnographic study in @PalliativeMedJ.bsky.social defines navigation strategies, including local health centres and community as "Intricate care networks"

This study in @palliativemedj.bsky.social focused on older people; of interest is the addition of fever as a potential symptom. Pharmacological treatment of pain, dyspnoea, death rattle, fever, nausea, and vomiting in the last days of life in older people: #palliativecare

🪧 Train in Palliative Medicine in the United Kingdom 📅 Open 14 Nov 2024 - 5 Dec 2024 ❔ Interviews 25 - 27 Mar 2025 👨‍⚕️ Start 6 Aug 2025 🌐 https://buff.ly/3Cun9Xj @rcphysicians.bsky.social @rcpsglasgow.bsky.social #choosepallmed #palliativecare https://buff.ly/3UXXPPL @pccongress.bsky.social

The medical workforce is becoming more diverse, with more international graduates working in the UK. The report reviews work done to promote equity and inclusion, including in employer referrals, training cultures, and within the GMC itself. https://buff.ly/3YVf6uf

This is just incredible. I was completely captivated by the costumes, especially Cromwell's. I want to watch it again and freeze-frame it.

The most wonderful time tonight with our #compassionatecommunities in Southport, Formby and West Lancashire for Strictly Queenscourt. Talent and #lifeisforliving galore! #hpm and #palliativecare

Attention students and FYs in Mersey: The RCP Student and Foundation Network is recruiting for enthusiastic reps https://buff.ly/4erul3V https://www.linkedin.com/posts/royal-college-of-physicians_the-rcp-student-and-foundation-network-is-activity-72617249773122…

The report from Race Equality Foundation addresses mental health inequalities faced by minority groups, highlighting barriers in accessing personalized care and offering solutions to improve outcomes through the Personalised Care Programme.

Today we have added a specialty doctor job to our open vacancies. Our #palliativecare #SAS docs have clinical, educational and developmental lead roles tailored to personal strengths. www.queenscourt.org.uk/about-us/wor...

The "Patient as Teacher" course at Aachen University offered medical students a unique experiential learning opportunity in palliative care, fostering communication skills and professional growth through patient interaction and reflective essays.

Advance care planning in Asian health systems lacks cultural consensus, focusing on family involvement & implicit communication. The study @palliativemedj.bsky.social advocates for person-centred, family-based approaches to improve end-of-life care in Asia. More details at: https://buff.ly/4en49HCt

📣 We’re Hiring! 📣 Join our team as a Palliative Care Nurse Associate (Band 6) or Palliative Care Nurse Specialist (Band 7), making a meaningful impact in Southport, Formby and West Lancashire. 📅 Apply by: Midnight, 24th November, 2024 ow.ly/MJbJ50U4C65 #NurseJobs #PalliativeCare

The Mental Health Bill 2025 aims to improve mental health services, ensuring timely access to care, reducing detentions, and enhancing patient rights and safeguards: fact sheet

Please give these casts a listen, great bite size pieces. For non Spotify players you can access it at lnns.co/WXPlhD5EStM

Familiar situation in the US as the UK. Hospices are adopting creative strategies to address rising staff costs, focusing on recruitment, retention, and building supportive organisational cultures to attract and keep clinical staff.

For educators in the NHS England area, check your budget lines: Healthcare education and training tariff: 2024 to 2025.

🚨🚨 We are super excited to be partnering with Sue Ryder to offer this Senior Research Fellow post. Very happy to discuss with potential candidates. @nancypreston.bsky.social Please RT. #hpm #hapc #palliative care hr-jobs.lancs.ac.uk/Vacancy.aspx...

This study explored #palliativecare needs and barriers in rural North India. It highlighted unmet needs, caregiving burdens, and access issues, recommending community-based, culturally appropriate solutions. Nice to see SPICT in use.

An enlightening podcast on the connection between improving services in underserved areas & increasing staff morale & engagement, learning from patients' lived experiences & involvement in leadership decisions and understanding what matters most. @nhsconfed.bsky.social #Equity

"All #palliativecare professionals have a responsibility for delivering evidence-based practice, and to be thoughtfully curious about the impact of new technologies in achieving equity and value across the system" @drcarolinebarry.bsky.social

Always helpful to remember the reason for this! Purple urine bag syndrome | RCP Journals

"These exist when narratives of individual choice and personal responsibility are prioritised above structural explanations" Why theories of social class matter for understanding inequities in palliative and end-of-life care https://journals.sagepub.com/doi/abs/10.1177/02692163241296478?ai=2b4&m…

Rehabilitation medicine in palliative care of chronic neurological conditions. This review shows that people living with LTNC benefit from SPC & it could be delivered using a model integrating rehabilitation medicine specialists & SPC.

Paediatric advance care planning in life-limiting conditions: scoping review of parent experiences

A helpful paper for the Sinhalese diaspora as well as Sri Lanka. Cultural adaptation and validation of the Sinhala version of the #spiritual needs assessment for patients (S-SNAP) questionnaire - BMC Palliative Care

📚 Join our e-course on core palliative & end-of-life care skills! Covering essentials like care needs, comms & health trajectories, this flexible course includes self-paced videos+ interactive case-based sessions. To enrol: academy.eusem.org/login/index.... #PalliativeCare #EUSEM