Claire @rc4gehr
Palliative Care CNS (UK RN). PhD student. Tweets related to palliative care/ research/ nursing/ things that interest me. Retweets so I can find them again Black Country Joined March 2011-
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Biochemistry in palliative care 🧵 Can you really tell that much from a set of blood results? Are they useful in palliative care?
4 medical things I check for every palliative care patient before I meet them. -Latest medical correspondence -Latest imaging including MDT -Latest medications -Blood tests from the last few months
4 medical things I check for every palliative care patient before I meet them. -Latest medical correspondence -Latest imaging including MDT -Latest medications -Blood tests from the last few months
The currency of clinical medicine is biological, while the currency of person-centred care is relational. Clinical medicine uses the language of lab and scan results; personhood uses the language of stories. @VirtualHospice @umanitoba @UM_RadyFHS @CCMB_Research @WHO #DIGNITY
Change fatigue in the workplace is growing. The "transformation deficit" (the gap between the required change effort as perceived by leaders & employee change willingness to achieve it) is widening. Data shows that the average employee experienced ten planned enterprise changes…
CODEINE, to prescribe or not to prescribe, that is the question....... Not to prescribe of course! But let's look at some of the reasons why......
Suffering and pain can be interpreted in vastly different ways, even in very similar situations. Patients, families, & clinicians all bring our own perspectives about suffering, and some of the hospital’s toughest conversations happen when views differ. #hapc #graphicmedicine
Can I add that 'Do Not Resuscitate' means just that but we can still 🤒 Treat the treatable 🫂Care 🚑 Admit to hospital or provide acute care at home if it's the right thing ❔Hold uncertainty 👂Listen & act on what matters And- RESPECT is more the DNR and 'ward based care'
Can I add that 'Do Not Resuscitate' means just that but we can still 🤒 Treat the treatable 🫂Care 🚑 Admit to hospital or provide acute care at home if it's the right thing ❔Hold uncertainty 👂Listen & act on what matters And- RESPECT is more the DNR and 'ward based care'
How can primary care support universal access to palliative care? Register for this webinar to hear experts from around the world give their view. 23 November, 3pm CET Register: buff.ly/3QgHUu4
Reducing unplanned hospital admissions from care homes: a systematic review journalslibrary.nihr.ac.uk/hsdr/KLPW6338/…
Dear folks, end of life care plans mean more not less. More care More communication More compassion More of all the stuff that matters More conversations More courageous decisions More holding of uncertainty More mouth care More team work More flexibility Many Thanks 🙂
Costs of anticipatory medications are modest but most of the drugs are never used. Paper here ⬇️⬇️ Our new research in @PalliativeMedJ Great analysis led by @lloydamorgan17 @PELi_Cam @WeCommNurses @MarieCurieEOLC @hospiceuk @TheQNI @QNI_Scotland doi.org/10.1177/026921…
Data, information, knowledge, insight, wisdom. By Gapingvoid Culture Design Group, @gapingvoid, gapingvoid.com, Used with permission.
This 🔽 #PhD
I started writing my PhD thesis in May. I submitted my final thesis by August. This is how I overcame writer's block to write a PhD thesis in less than 3 months:
What to do after the ‘what went well, even better if’
Join 36,000 other people who have signed up for a free online course from @TheKingsFund to learn how the NHS really works. The syllabus covers the history behind the NHS, how it operates & current & future challenges. It's open to everyone. For more information:…
The key elements which signal improved care outcomes are: care coordination; care planning; digital health; and using methods to prepare, inform and motivate patients and families. #hpm #hapc buff.ly/3QuGhcG
This New Yorker article on CPR is brutal. newyorker.com/news/the-weeke…
David Oliver @mancunianmedic
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237 Followers 285 Following End of Life Care Facilitator | Interests in Education | All views are my own 💙Assistance to die res.. @ADResearch22
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10 Followers 43 Followingclare gallie @ClareGallie
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449 Followers 762 Following Lecturer in Palliative Care at @IOELC @LancsDHR. Interested in social deprivation, access to services and routine data. Formerly Vienna-based journalist.Sam Alexandra Rose @writersamr
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807 Followers 356 Following Professor of Palliative Care at The University of Sheffield. Co-director of Mesothelioma UK Research Centre. Mum & wife. Climber & runner.Ella Williams @ellawilliamsco
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114 Followers 197 Following Nursing instructor at AUB PhD student at Lancaster UniversityDigital Legacy Confer.. @digitallegacy24
638 Followers 856 Following The annual, international conference exploring areas relating to digital legacy and digital death. NFP event by @DigitalLegacyCoAlex Brogan @_alexbrogan
287K Followers 390 Following Writing to understand people, companies, and ideas. Sign-up to my newsletter here ⬇️Oren Gottfried, MD @OGdukeneurosurg
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7K Followers 555 FollowingJaquie @readersgirl
289 Followers 279 Following Consultant Pharmacist (Antimicrobials) WHSCT. ARPharmS (Consultant), Special Interest in Palliative Care, musical theatre lover, hockey geek.....happy lady!Assistance to die res.. @ADResearch22
15 Followers 51 Following How nurses respond to requests for assistance to die. PhD study @LancsDHR @LancasterUni.RECRUITING NOW Research icon created by Nhor Phai - Flaticonlouise greenaway @louisegreenawa9
1 Followers 1 Following "kindness a simple way to tell another struggling soul that there is love to be found in the world !". Dog lover, live music enthusiast, Palliative Care CNSLeicester, Leicesters.. @LLRReSPECT
159 Followers 43 FollowingBobbie Rathjens @bobbierath
2K Followers 3K Following Ph.D. Candidate @michiganstateu at @CommDeptMSU. Studying business, marketing, consumer behavior, and communication.Pharmacist Melissa @melsmedicines
4K Followers 996 Following 👩🏻🔬PCN/Community Pharmacist 📺Media Pharmacist ✍🏼Medical writer & blogger @melsmedicinesCough, causes and management. pubmed.ncbi.nlm.nih.gov/38088193/
4 medical things I check for every palliative care patient before I meet them. -Latest medical correspondence -Latest imaging including MDT -Latest medications -Blood tests from the last few months
Biochemistry in palliative care 🧵 Can you really tell that much from a set of blood results? Are they useful in palliative care?
Signs of a leadership culture problem: - status & grade are everything - high staff turnover, especially staff who ask questions 🙋♀️ - bright people go quiet 🤐 - good ideas are claimed by seniors - rule followers are the ones who stay - leaders can’t see there’s a problem 🤷♂️
signs of a culture problem: - hierarchy is paramount - image trumps substance - listening is limited & tokenistic - staff have no voice; scared of repercussions - those who speak honestly are ostracised & demonised - bonding comes via othering - leaders can’t see the problem
signs of a culture problem: - hierarchy is paramount - image trumps substance - listening is limited & tokenistic - staff have no voice; scared of repercussions - those who speak honestly are ostracised & demonised - bonding comes via othering - leaders can’t see the problem
Many older people received at least one medication of questionable clinical benefit or potentially inappropriate medication during the last two weeks of life. #hpm #hapc buff.ly/49lgGco
Decorating a new office so I made some art prints mimicking those amazing national park posters. #hapc #palliativecare
"Managerial ventriloquism" is a common practice in the health & case sector. It's where leaders mention others (often those in higher authority) when they ask people to do things. Eg, "the Regional Office needs this by the close of play" or "the Director says we have to do this".…
Earlier this week, I posted about the critical leadership role of building belonging at work. Several people asked me about how we measure belonging. So I wanted to highlight this study from @Coqual_ , USA. Using a ten point scale, based on four elements, they showed: 1) people…
I'm preparing to record a film on "belonging at work" for an MBA module. Belonging creates a profound sense of connection & validation at work. When we feel we belong, we thrive & so do the people around us. We feel a sense of belonging when we: 1) are seen for our unique…
@ThePhDPlace remember the magical stat: 99.98% of those who submit their thesis pass source: trust me bro
Cheyne Stokes respiration at end of life- Thread Can be scary to witness for family, loved ones and health care professionals looking on. Understanding a little about what is happening may help alleviate some of that distress 🧵
New Thread 🧵 Cheyne Stokes An emotive and challenging topic One that I felt was important to understand more about personally and for my clinical work
Cheyne Stokes respiration at end of life- Thread Can be scary to witness for family, loved ones and health care professionals looking on. Understanding a little about what is happening may help alleviate some of that distress 🧵
Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know: What is the primary mechanism by which supplemental oxygen can increase PaCO2 in someone with severe COPD? 1/
I created a deck of 35 of the graphics that I tweeted during 2023. These are the graphics linked to the tweets that others liked and retweeted the most. The graphics are mostly created by other people and I have acknowledged the source of each one. Thank you to all the brilliant…
@HelenBevan Hello Helen please would you consider adding LISTEN
My parents had to put their dog down two years ago and it’s been really hard on them. Unfortunately my stepdad, Rick, has found the worst way to cope: feeding a one-year old raccoon and letting him live on their porch. His name is Little Rick aka Rickoon. And by “feeding” him,
Accessing palliative care medicines over Bank Holiday weekends @brumshospice @NHSBSol westmidspallcare.co.uk/an-alternative…
We are now officially into year 5 of the SARS-CoV-2 pandemic/endemic. I gave a lecture to my virology class this Fall about the history of the pandemic through the lens of viral genotypes. I thought I would share that lecture as a thread. This is a long one. 1/