By Dr Matthew Doré, palliative care consultant at Northern Ireland Hospice & Royal Victoria Hospital in Belfast. Sometimes I wonder if we limit our prescriptions to ‘medications’ rather than ‘treatments’ and that prevents a more creative approach to being a doctor. Compassionate communities (1) is prescribing ‘compassion’ with amazing success and we were (pre covid) […]
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Homecoming
By Heather Trickey Hey! Sit down! Eat! Let’s outrun all claims of sleep to tell our stranger stories. Pour wine. Break bread. Tell me about your heart. Take mine. After all, I’ve almost known you all this time. You, who were abroad on adventure, encompassing your part, taking in, absorbing your own commonwealth […]
Schrodinger’s Chimney; the nature of control
By Dr Joseph Hawkins, Consultant in Palliative Medicine Woking and Sam Beare Hospice, Honorary consultant Ashford and St Peter’s hospital Foundation Trust. Email: Joseph.hawkins@nhs.net When talking with a neighbour she remarked that her chimney was tilting; I looked and so it was. When I looked back at her she smiled and shrugged: ‘There are worse […]
Do Not Attempt Resuscitation decisions and the need for regulation in Ireland
By Dr Lucy M. Davis, School of Law, University of Limerick, Ireland. Email: lucy.davis@ul.ie and lucymdavis@yahoo.com Twitter: @LucyMDavis “Why did you choose to research DNAR orders?” This was one of the first questions raised by examiners when I defended my PhD thesis. A standard question for most PhD viva voce exams and definitely, a valid question for my […]
Chronative care – Care in time
By Dr Matthew Doré, palliative care consultant at Northern Ireland Hospice & Royal Victoria Hospital in Belfast. “They have been in hospice for a month,” is the phrase which is sometimes spoken aloud but more often is in thought and generally implies the patient has had their time and should be discharged now. I want […]
A call to action! Living and dying with Cystic Fibrosis – more research is needed
By Dr Mary Miller, Department of palliative care, Sir Michael Sobell House, Oxford University Hospitals NHS Foundation Trust, Oxford, OX3 7LE, UK and Honorary senior clinical lecturer, Nuffield department of medicine, Oxford University, UK Email: Mary.miller@ouh.nhs.uk and Mary.miller@ndm.ox.ac.uk Phone: +44 1865 225858 Orcid ID: 0000-0002-2026-6397 Twitter: @dr_mary_miller Colleagues working in Cystic Fibrosis are superb […]
The Astronomical Approach to Advance Care Planning
By Dr Joseph Hawkins, consultant in palliative medicine Woking and Sam Beare Hospice and honorary consultant at St Peter’s Hospital; Surrey, England In the steppes of Kazaghstan a very special launch is happening- the British space craft: End of Life Services by Astroscale is due to start its mission of clearing defunct satellites from earth […]
Let’s talk about advanced cancer prognosis
By Dr Helen Kerr, Senior Lecturer, School of Nursing and Midwifery, Queen’s University Belfast Sara Mone, Staff Nurse, Royal Victoria Hospital, Belfast Correspondence to: Dr Helen Kerr, h.kerr@qub.ac.uk For individuals with advanced cancer, being aware of their prognosis will often mean being aware of a terminal prognosis or shortened life expectancy. Individuals with advanced […]
What now for assisted hydration?
By Dr Arjun Kingdon, Academic Clinical Fellow & ST5 in Palliative Medicine Article reference: Kingdon A, Spathis A, Brodrick R, et al, What is the impact of clinically assisted hydration in the last days of life? A systematic literature review and narrative synthesis, BMJ Supportive & Palliative Care, 2021;11:68-74. It’s hard to forget the furore […]
Efficacy and safety of pharmacological cachexia interventions: systematic review and network meta-analysis
Article reference: Saeteaw M, Sanguanboonyaphong P, Yoodee J, et al, Efficacy and safety of pharmacological cachexia interventions: systematic review and network meta-analysis, BMJ Supportive & Palliative Care 2021;11:75-85. Authors: Nathorn (Nui) Chaiyakunapruk, University of Utah Health Manit Saeteaw, Ubon Ratchathani University Kaitlyn Craft, University of Utah Health Cachexia is a syndrome that causes body weight […]