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Wondering if anyone is using Etoricoxib for cancer bone pain? I thirst after an NSAID with Ketorolac-esque efficacy but more palatable GI safety profile. Albeit in a different patient group, it looks more potent a COX-2 inhibitor than Celecoxib: bandolier.org.uk/booth/painpag/…

Tony Duffy 💙 ☆ Rachel ☆ @AndrewMageePsy 24/7 home visiting essential-don't know how we managed before Taking own drugs out, PGD if nothing prescribed, nurses & paramedics able to make DNR/not-for-hospital decisions, all mean we can respond. If someones dying badly, we are an emergency service, even if "not known to us"

"Life is short, so make it sweet and memorable. Enjoy every moment and don't take life too seriously."

Valuing this from lizandmollie Diversity is having a seat at the table, inclusion is having a voice, and belonging is having that voice be heard. ❤️

Does it seem like your hospital patients are getting more... complicated? They are! 🧵

This is a really comprehensive review of the pharmacology and practicalities of using SC clonidine for pain in palliative care from Sarwat Amna and colleagues in Denmark, where they've used clonidine for several decades. Link to the paper is free access onlinelibrary.wiley.com/doi/10.1111/bc…

"Curative" care is increasing faster than palliative care at the of life. 95% of patients in their last year of life receive emergency and unscheduled care. Much room to save suffering, carbon, and cost. UK Health Alliance on Climate Change bjgp.org/content/71/710…

Sigmund Freud on lecturing, 1884

I have just seen my first conjoined daisy. I feel grateful that life remains full of little surprises.

Attend the 'Getting Your House in Order - Advance Care Planning' Conference. 🗓️8th May, 2024 *The conference can be attended face to face or virtually. 😍 🎟️advancecareplanday.org/acp-conference/ #ACPDay2024 #AdvanceCarePlanning #whatmattersmost

"A UK wide day that promotes the ideas and benefits of Advance & Future Care Planning is a great initiative, I am glad that it will finally happen this year." - Professor Mark Taubert (Prof. Mark Taubert) AdvanceCarePlanDay.org 😍 #ACPDay2024 #AdvanceCarePlanning #DMAW2024

A patient developed hypoglycaemia, no history of diabetes or obvious hypoglycaemic drugs. Only recent change had been the initiation and titration of methadone. The cause was likely methadone induced hypoglycaemia, which can be dose related. ncbi.nlm.nih.gov/pmc/articles/P…

💻Opioid Conversion Workbook up on e-learning for healthcare: portal.e-lfh.org.uk/Component/Deta… Excellent resource for medical + nursing new starters in #pallcare or as refresher training. Good to have some structured high calibre content to utilise for inductions (and save repetition).