@pallyscot.bsky.social
Palliative care doctor, Gomez the Griffon, guinea pigs, loud music, cars
The palliative care evidence dilemma
Newer drug
Limited evidence therefore not widely adopted
Or good evidence yet not widely adopted
Established drugs
Mostly very limited evidence or off label use yet form the foundation of symptom control - remains mostly unchallenged
A new "Try the 4AT" calculator was added to the main 4AT website just over a week ago.
Since then >1000 visits with >2min average per visit - great to see so many people trying out the 4AT.
www.the4AT.com/trythe4AT
#delirium
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How is the palliative care community building going on here?
27.03.2025 22:00 — 👍 2 🔁 0 💬 3 📌 0Lol copy and paste fail
www.nice.org.uk/guidance/ta345
Promotion of diuresis through osmotic glycosuria? Fascinating drugs, came into fashion when I was doing some diabetic clinic work. Main issue was UTI and candida which seemed quite common
03.01.2025 21:40 — 👍 1 🔁 0 💬 0 📌 0
Early Bird Rates Available until 24 January
Get your tickets pccongress.org.uk/registration/
Full Programme available via the website
Day 1 - pccongress.org.uk/day-1-progra...
Day 2 - pccongress.org.uk/day-2-progra...
#PCC2025 #PalliativeCare #Event
How many other drugs used in palliative care have this level of evidence?
nice.org.uk/guidance/TA345…
2/2 I routinely discuss this with patients now, if effective then discontinuing the drug will lead right back to the original problem. Same goes for stimulants such as bisacodyl.
As always prevention is better than treating advanced constipation.
I Don’t wait weeks to try a PAMORA
PAMORA observation 1/2
When using Naloxegol or Naldemedine for opioid related constipation the first couple of doses are likely to result in abdominal cramping and loose stool as the constipation resolves. These side effects usually pass once hard stool and overflow subside
Interesting report on people who frequently attend A&E via ambulance, with palliative patients making up a large proportion of the cohort.
www.redcross.org.uk/-/media/docu...
Its been a very special week ♥️👶🏻
15.12.2024 01:07 — 👍 9 🔁 0 💬 0 📌 0
Our new BJCN Editorial: 'Providing effective dying symptom control at home'. We sometimes need to do much better as an integrated care team (sadly)!
⬇️ Paper ⬇️
www.britishjournalofcommunitynursing.com/content/edit...
@theqni.bsky.social @mariecurieuk.bsky.social
He is, a very cheeky one
02.12.2024 09:25 — 👍 1 🔁 0 💬 0 📌 0
Relaxing bath this evening 😂
23.11.2024 00:56 — 👍 2 🔁 0 💬 2 📌 0
Feeling more seasonal in the mornings here in Edinburgh now
09.11.2024 21:15 — 👍 9 🔁 1 💬 0 📌 0Why less is more with oral iron replacement:
09.11.2024 18:19 — 👍 3 🔁 1 💬 0 📌 0
Posing for the camera
08.11.2024 20:08 — 👍 4 🔁 0 💬 1 📌 0 I forgot the price of haloperidol 500mcg tablets today
I was soon reminded 🤯
Gomez and Nargil- best of friends
05.10.2024 20:05 — 👍 2 🔁 0 💬 1 📌 0
First post on Bluesky.
The other place can still be good but there’s too much gumpff and toxicity to enjoy it.
My interests are my dog Gomez, palliative care, pharmacology, hard rock/metal, guinea pigs, gardening and i’m also something of a petrolhead
Come say hello
