The value of using the African Palliative Outcome Scale in community care in Kenya

By Stella Rithara, Elizabeth Ng’uono Odalo, Asaph Kinyanjui, Catherine Nelson and Dr Sally Hull Take Home Messages: The APCA-POS tool can be used effectively in routine community hospice care in Kenya, where care is mainly provided by community health workers. All the teams gained from ‘uncovering’ needs which were previously unrecognised. Patient’s experience of pain, […]

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Minton’s travel-log, or “Ei kukaan ole seppä syntyessään” – EAPC 2025 Helsinki

by Dr Ollie Minton, Consultant Palliative Medicine, Brighton, UK Ei kukaan ole seppä syntyessään –  Nobody is a blacksmith at birth, meaning learning takes time and dedication.   Welcome back my fellow travellers tempus fugit or whatever the Finnish version is another conference completed (2024 already buried in the archives)  Vicky Cristina Hola Barcelona – […]

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Do concerns about assisted dying apply just as much to palliative care at the end of life?

By Prof, James Downar and Prof. Sam H Ahmedzai Take Home Messages: We can never be 100% certain that an unconscious person is comfortable, but this is more of a concern for palliative sedation than for assisted dying. People may feel pressured into assisted death by family members, but we routinely allow the same family […]

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Sapporo Spring 2025 Newsletter

Author: Dr. Kunihiko Ishitani President of The International Research Society of the Sapporo Conference for Palliative and Supportive Care in Cancer  President, Higashi Sapporo Hospital, Japan Introduction For our Spring Newsletter (for full newsletter, see link below) I have been reflecting on immunotherapy and its relation to palliative care. The recent remarkable advances in cancer […]

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“Faecal vomiting” – a case of frequently mentioned, but rarely seen

Author: Dr Tony Duffy, Consultant Palliative Medicine, Edinburgh, Scotland  Introduction: In the context of the current UK assisted dying debate, the terms ‘faecal’ and ‘faeculent’ vomiting have been publicly employed, including during the Second Reading debate in parliament.  This terminology has featured in stories of unpleasant deaths to contextualise why some people feel assisted suicide […]

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How 20 minutes of mindful breathing can rapidly reduce intensity of cancer pain

News:  Malaysian study reveals that 20 minutes of mindful breathing can rapidly reduce intensity of cancer pain It complements traditional pain relief and broadens repertoire of options, says a team of  Malaysian researchers in our main journal   Twenty minutes of mindful breathing, which focuses a person’s attention on their breath, can rapidly reduce the […]

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Assisted Dying in Germany- Munich study raises concerns

Author: Mark Taubert, NHS Consultant and Professor of Palliative Medicine, Cardiff, UK It can be a challenge finding data on assisted dying and euthanasia in jurisdictions where it is legal. In some areas the data is not made available, elsewhere not much is recorded or observed beyond patient demographics. Finding detail on complication rates and […]

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Do They Go Gently?

Authors: Dr. Benjamin Thomas, Staff Specialist in Palliative Medicine, Illawarra Shoalhaven Local Health District, NSW, Australia. bluesky: andiyar.bsky.social Dr. Greg Barclay, Senior Staff Specialist in Palliative Medicine, Illawarra Shoalhaven Local Health District, NSW, Australia       Introduction: Voluntary assisted dying (VAD) is becoming more widespread in multiple jurisdictions around the world. Legislation is currently […]

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Exploring the unknown

By Dr Joseph Hawkins, Consultant in Palliative Medicine, Clinical lead for End of Life Care, Ashford and St Peter’s NHS Foundation Trust. Twitter: @JoeHawk75825077 At a recent family event a relative explained in long suffering terms how no-one knew why she had a persistent, low level tachycardia at times. The issue appears benign and this […]

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