Perspectives on dying from COVID-19 part 3: Swimming against the tide

Part three in this exploration of themes from frontline care staff during the pandemic Authors: Dr Simon Tavabie – Royal London Hospital, Dr Katie Ball – Marie Curie Hospice Hampstead, Dr Rory Carrigan – University College London Hospital, Dr Stephanie Lister-Flynn – St Catherine’s Hospice Crawley As we enter the new year we’re offered a […]

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The Development and Implementation of a National Covid-19 Hospital Guideline for Wales

Authors: Rhys Jeffries; Simon Barry; Laura Wallis; Chris Davies and Mark Taubert on behalf of the Respiratory Health Implementation Group Wales, the Institute of Clinical Science and Technology and the NHS Wales Health Collaborative, Cardiff, UK Guideline website:  https://covid-19hospitalguideline.wales.nhs.uk/ Introduction: It became evident in early March 2020 that clinical practice in managing COVID-19 varied markedly […]

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The Nordic walking experiences of a neurologist with Parkinsonism

by Professor Anica Jusic,  Zagreb, Croatia Professor Anica Jusic is a retired neurologist in Zagreb, Croatia, and became aware of the need for further care for her patients – particularly those with progressive neurological disease, such as amyotrophic lateral sclerosis. She attended the first International Symposium on ALS/MND in 1990 and she became aware of […]

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Lesson from the First Wave: Developing symptom control guidance for COVID-19 patients who are deteriorating despite non-invasive ventilation (NIV) as their ceiling of treatment

Dr Lowri Evans (Registrar in Palliative Medicine) , Dr Clea Atkinson (Consultant Palliative Medicine), Professor Anthony Byrne (Consultant Palliative Medicine) Cardiff and Vale University Health Board and Velindre University NHS Trust, Cardiff, UK In April 2020, the Palliative Care team at the University Hospital of Wales (UHW) were contacted by the respiratory unit, asking for […]

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Quality Improvement Initiative: Improving Weekend Written Handover for On-call Palliative Care Teams in the Hospital Setting

By Dr Noreen O’Shea, Department of Palliative Medicine, University Hospital Waterford, Dunmore Road, Waterford, Ireland Dr Denise Hayes, Department of Palliative Medicine, University Hospital Waterford, Dunmore Road, Waterford, Ireland Dr Emmet Walls, Department of Palliative Medicine, University Hospital Waterford, Dunmore Road, Waterford, Ireland   Background: Patients of the Palliative Care service, requiring weekend review, have […]

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End of life mouth care: the experiences of two dental professionals

By Professor Parmjit Singh and Miss Serpil Djemal The mouth is considered the most important organ of expression and it is often affected in the later stages of malignant terminal conditions.[1]  As the disease advances, oral problems can cause great distress, pain and discomfort, interfering with appetite, taste, chewing, swallowing, nutrition, speech, social interactions, and […]

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Crossed Communication Wires – A COVID-19 ward experience

Dr Ben Pyrke (Senior House Officer at University Hospital Llandough, Cardiff, UK), Dr Harriet White (Senior House Officer at University Hospital Llandough, Cardiff, UK), Dr Badr Abdalla(Clinical Fellow in Gastroenterology at University Hospital Llandough, UK), Dr Gwen Cartwright (Foundation Doctor Year 1 at University Hospital Llandough, Cardiff, UK)   Pre-COVID-19 we relied on face-to-face consultations, […]

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