Deans Buchanan
@dbuch17
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Palliative care doc, person, husband and dad. SACMO Pal Med. Views/RTs own
Scotland, United Kingdom
Joined November 2016
One of the most important threads I’ve ever tried.
Naloxone in palliative care 🧵 Naloxone can save lives in people with opioid induced respiratory failure or apnoea. It’s use only indicated when there is a fall in respiratory rate with evidence of significant ventilatory failure
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Winston's Wish - Bereavement Support for Children now on whats app which is amazing work
winstonswish.org
Winston’s Wish is the UK’s childhood bereavement charity, dedicated to providing bereavement support for children and young people.
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Glucocorticoids for pain flare prophylaxis after palliative radiotherapy for bone metastases: a systematic review and meta-analysis of randomised controlled trials
spcare.bmj.com
Introduction Bone metastases (BMs) are a major cause of cancer-related pain. Palliative radiotherapy is effective for controlling these symptoms, but up to 40% of patients experience transient...
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The Scottish Government will extend a successful programme run by the @Scotambservice, enabling its Palliative and End of Life Care team to continue its vital work this year. Read more ➡️ https://t.co/v1UypJTbG1
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Everyone who works with people at end of life should read this paper by Jason Boland. It is excellent and so vital. How to distinguish opioid toxicity from natural dying in patients with...
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A new palliative care strategy - Palliative Care Matters for All - has been launched by Public Health Minister @jenni_minto to ensure everyone in Scotland can access timely, high-quality and compassionate care. Read more ➡️ https://t.co/Vfjxe1iCNp
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Scottish Government Palliative Care Strategy, Palliative Care Matters for All (2025-30) News item, Strategy & Delivery Plan https://t.co/MMg1qBM3B0
gov.scot
Supporting people with life-shortening conditions and their families.
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We hope this strategy will ensure truly person centred care, where patients and families feel supported with dignity and compassion. @NHSTayside Palliative Care Matters for All (2025-30) News item, Strategy & Delivery Plan https://t.co/LLWvVjFLIr
gov.scot
Palliative care strategy
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Really pleased with the (very nearly complete) line up for SPPC's forthcoming conference. The programme will be out in the next day or so but you can get a sneak preview of the theme, speakers and sessions here. ANd booking link of course!
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New palliative care strategy launched - https://t.co/L4LFoySNec privileged to host Ms Minto at Cornhill MacMillan Centre, PRI today with Nicky Connor, @NHSTayside CEX. Key themes: community, collaboration, & compassionate care. #Taysidetogether
gov.scot
Supporting people with life-shortening conditions and their families.
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Mirtazapine for breathlessness? Evidence does not support its use. In a similar fashion to using Clonazepam for pain it is probably helpful in a small number of people who have anxiety and poor sleep associated with their symptoms. https://t.co/KrtP3C0VvH
thelancet.com
Our findings suggested that mirtazapine of doses 15 to 45 mg daily over 56 days does not improve severe breathlessness among patients with COPD or interstitial lung diseases and might cause adverse...
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When would I be surprised? Variability in predicted probability of survival for being “surprised” and “not surprised” to the surprise question make it make sense @nicolagwhite
link.springer.com
Supportive Care in Cancer - The surprise question is commonly used in clinical practice; however, the variability in how “surprise” is defined is unclear. We examined the variability in...
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CMO ALERT📢 *** Oral swabs with foam heads should NOT be used. *** Preferred alternative is Oralieve 360 toothbrush single patient use, reusable for up to 3 months large and small (previously known as "adults" and "childrens") @RCPEdin @theRCN @UHL_MCM_Team @rcgp @kesleeman
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Consultant in palliative medicine 6PAs + on call St Columba’s Hospice A fantastic rare opportunity to come work with us in Edinburgh. https://t.co/OQgie55DCj
stcolumbashospice.org.uk
From the doctors and nurses to physios, chaplains, occupational and complementary therapists, they all make a difference to the lives of patients and families on an hourly basis.
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Breaking free from prognostic paralysis in chronic advanced diseases | Palliative & Supportive Care | Cambridge Core
cambridge.org
Breaking free from prognostic paralysis in chronic advanced diseases - Volume 23
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Details emerging of the SPPC conference. Registrations now open and first speakers announced. https://t.co/kdxptvZVEf
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New reports project increasing cases of common cancers in Scotland by 2044. The picture is nuanced, not inevitable and can be changed by the work of the new Population Health Framework from @ScotGov to improve our health and healthcare. Find out more 🔽 https://t.co/Dnu3IWNRWh
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New paper from our team @dundeeuni 1 in 20 to 1 in 25 patients with COPD in the UK show serological evidence of recent Bordetella pertussis infection - an underdiagnosed cause of COPD exacerbation and a vaccine preventable disease @ERSpublications
https://t.co/ikAFGM3GDI
pmc.ncbi.nlm.nih.gov
Exacerbations are key events in the natural history of COPD as they contribute to lung function decline and therefore disease progression [1]. Exacerbations are heterogeneous and it is well-described...
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Daily recommendation #palliativecare Community prescribing trends and prevalence in the last year of life, for people who die from cancer https://t.co/Tk0ef1eQNS
pubmed.ncbi.nlm.nih.gov
A substantial proportion of cancer decedents were not prescribed strong opioids, breakthrough medication, or medication to alleviate common palliative care symptoms (including 'Just in Case' medica...
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I recently took part in a BBC interview at the request of a truly inspirational patient. He was determined to convey his new understanding of palliative care and hospice. I highly recommend watching John’s section which starts at 4min 30 seconds https://t.co/5LyxxLuKvY
bbc.co.uk
Coverage of the General Assembly of the Church of Scotland, including a report on what is a call to ministry and another on assisted dying.
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