Dr Julià-Torras

New paper!

Sistematic assessment of needs in Palliative Care sistematically is feasible in a first visit.

Open access: journals.plos.org/plosone/arti...

When prescribing dexamethasone, remember enzyme inducers, such as carbamazepine and phenytoin, can significantly reduce its serum levels. In some cases dexamethasone doses may need to be increased 2 - 4 fold! Particular caution needed in high risk indications such as MSCC!

Timing of referral to outpatient palliative care for patients with haematologic malignancies - PubMed Outpatient palliative-care facilitates timely supportive-care access; however, there is a paucity of studies on the timing of referral in the outpatient setting for patients with haematologic malignan...

pubmed.ncbi.nlm.nih.gov/35866185/

Managing Cancer Pain in Patients With Opioid Use Disorder or Nonmedical Opioid Use - PubMed Managing Cancer Pain in Patients With Opioid Use Disorder or Nonmedical Opioid Use

pubmed.ncbi.nlm.nih.gov/35771548/

Short-lived breathlessness or pain may resolve before PRN oral opioids can take effect (oral morphine starts to work after 15 - 30 minutes, peak effect may take upwards of one hour), in such circumstances the patient may derive little benefit but experience adverse effects.
#palliativecare #pain

Two new additions to the fantastic Scottish Palliative Care Guidelines.

Mouthcare: tinyurl.com/5n6v38st

Spiritual Distress: tinyurl.com/y4k67ja5

Evaluación y Respuesta del Deseo de Avanzar la Muerte en Personas con Enfermedad Avanzada (6ª Edición)

El pasado viernes 29 de noviembre WeCare organizó su 11º Workshop "Responder al deseo de morir".

Se abordaron claves para atender el DAM haciendo énfasis en la formación de los profesionales.

6ª edición del curso Evaluación y Respuesta al Deseo de Adelantar la Muerte 👇🏻
www.uic.es/es/estudis-u...

Participating in the webinar "Palliative Care and Oncology integración"
Sharing knowledge among oncologists and palliativists

Avui compartint l'experiència de l'equip de suport hospitalari (ESH) de cures pal·liatives de l'@ICO_oncologia #Badalona a la I jornada dels ESH organitzada per @salutcat

Creat! I would like to be added. My work is focused in Palliative Care and cancer pain.

Welcome to the 20M+ new folks who just joined BSky!! 🔥 Here's a Pain Science & Medicine starter pack for those interested. Please RT so that our community can find us! 🙏🏼🙏🏼
Comment if you'd like to be added 🤓👇🏼
#medsky #medtwitter #PsySciSky #neuroscience #neuroskyence #PainSky
go.bsky.app/4r8uAeG

❌ There is no "pain center" in the brain.

🧠 Rather, pain is a diffuse neurological process involving MANY brain sites, including PFC (attention), cerebral cortex (thoughts) + limbic system, critical parts of our emotion circuitry💥

📣 Pain is *both* physical and emotional ALWAYS 👏🏼
#MedSky #psyscisky

Predictive Biomarkers of Dyspnea Response to Dexamethasone and Placebo in Cancer Patients - PubMed Cytokines decreased with dexamethasone, but not placebo. Higher baseline cytokine levels may identify patients likely to respond to dexamethasone and less likely to respond to placebo.

pubmed.ncbi.nlm.nih.gov/39297834/

Top Ten Tips Palliative Care Clinicians Should Know About Designing a Clinical Trial in Palliative Care - PubMed The palliative care field is experiencing substantive growth in clinical trial-based research. Randomized controlled trials provide the necessary rigor and conditions for assessing a treatment's effic...

pubmed.ncbi.nlm.nih.gov/39167532/

Spending time with people in their final days showed me that we need not assisted dying, but better end-of-life care | Gordon Brown We can and must improve on our current end-of-life options – ‘Switzerland, suicide or suffering’, says former UK prime minister Gordon Brown

"70% of the public want to prioritise social EOL care before thinking about assisted dying & I believe that as part of that, a commission on EOL should devise a thought-through, fully funded, 10-year strategy for improved and comprehensive #palliativecare." www.theguardian.com/commentisfre...

And here is the first #hapc #palliativecare starter pack: go.bsky.app/582Y1Av

I've updated the #hapc #palliativecare starter packs so now there are two. Do let me know if you want to be added (but check you aren't there first please!). Lots of great people to follow here. go.bsky.app/E8o273Y

Listening to the debates on assisted dying… there is so much more we need to do to communicate about the complexities of pain beyond the purely ‘physical and medication’. In #palliativecare we know how complex and multidimensional pain is

Very useful! Please, may I be added?

My 1st post at @bsky.app

Let's build a Palliative Care community to share knowledge and experiencies!
@palliativemedj.bsky.social @pallimed.org @jpsmjournal.bsky.social @brueraeduardo.bsky.social @j-palliativemed.bsky.social