Elsewhere in the Palliverse – Weekend Reads

Hot on the heels of the @LegoAcademics come the @LegoPalliateurs. I think these Lego accounts are all the reason you need to try out Twitter!

legopall

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Palace of Care

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Hi everyone,

Join me in sharing stories from the lighter/brighter side of Palliative Care.

Cheers,

James

Homelessness in palliative care

Thanks to Michael Bramwell, from Melbourne City Mission, for the following slides:

Homelessness in palliative care

Sonia learns a new word and hopes to impress her colleagues

It’s always a great pleasure to learn a new word and I had such a pleasure this week with “analgesia dolorosa”. In fact, two new terms as it’s also known as analgesia algera.

A pain specialist colleague (thanks C) used the term in reference to a patient who had presented with chest wall numbness and such severe nipple pain on light touch that he has difficulty wearing shirts. He went on to be diagnosed with a metastatic malignancy infitrating his thoracic vertebrae.

So, analgesia dolorosa is different from hyperalgesia which is an increased pain sensation from a normally painful stimulus, and I guess a variation on allodynia which is pain from a normally non painful stimulus.

 

Drop it in to a ward round near you and amaze your colleagues!

 

Sonia

Elsewhere in the Palliverse – weekend reads

The recent death of comedian Joan Rivers has brought end-of-life issues to the forefront. Kübler-Ross collaborator David Kessler wrote a piece in the Huffington Post on “Melissa Rivers’ Courageous Decision” to take her mother “off life support”. He gives advice to families going through the same decision-making process. Joan Rivers’ funeral plans, which she wrote about in a 2012 book, have also been getting wide coverage in the mainstream media. (Huffington Post, USA Today, news.com.au)

Nicholas Talley, President of the Royal Australasian College of Physicians (home to the Australasian Chapter of Palliative Medicine and therefore all palliative medicine specialists and trainees in Australia and New Zealand) has called for Australian governments to invest in and support further clinical trials into the benefits and risks of medicinal cannabis. In his piece for The Age, he speaks of humanity, compassion, patient-centred care and evidence-based medicine. (The Age)

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#ANZSPM14 Conference Transcript

Team Palliverse are working on a post about the excellent content presented at the Australian and New Zealand Society of Palliative Medicine 2014 Conference that wrapped up yesterday. In the meantime you may wish to catch up on tweets via the #ANZSPM14 transcript (via Symplur)

Decision Assist project grants

Decision Assist is seeking applications from eligible organisations for enabling grants to support projects that aim to implement linkage strategies that have the potential to improve the quality of end-of-life care for older people in residential and community settings.

Applications close September 12. More information can be found here.

 

Calling GP’s working in Australia – what is your clinical practice around advance care planning?

Researchers from UWA are currently conducting research on factors influencing advance care planning, we would like to invite you to participate in a short online survey.

The survey should take approximately 20 minutes to complete, and your responses will be anonymous.  If you are interested in participating, please follow the link below to read the Information Sheet, before responding to the survey items on this website.

Many thanks for your time and thoughtful responses!

Posted by Craig Sinclair @craigbsinclair

New Palliative Care Resource

 
We’ve seen this new, free, online palliative care education resource developed by the folk at Centre for Palliative Care in Victoria. It’s targeted towards health professionals from a variety of clinical settings who have an interest in caring for patients and their families living with a life-threatening illness or who wish to find out more about palliative care.
 

Idiot’s guide to twitter for health professionals – Twitter 101

“I don’t get Twitter.”

“I don’t have time to … um, tweet!”

“Nobody cares what I had for lunch.”

 

As an (ahem) senior medical staff member I get a lot of raised eyebrows when I talk about Twitter. Some people (most people?) haven’t actually had a look themselves but have views about it being lightweight, superficial and a time waster.

 

Twitter is part of a revolution in health care; we are moving from the one-way “doctor knows best” model to a two-way dialogue in which patients and carers are actively engaged with health professionals and participate in their own health care.

 

I use Twitter mostly professionally. Surprised? Since I joined, the answer to the question, “Did you see the xyz paper?” has turned from a probably ‘No’ to a certain ‘Yes’. I have seen everything! I have “met” amazing people all around the world; patients, carers, other health professionals, health care leaders.

 

There are heaps of articles about why health care professionals should use Twitter online. 

For me, the benefits in Twitter are in

  • seeing important palliative papers as soon as they are out,
  • learning about current and future research projects
  • gaining a better patient/carer perspective
  • meeting people I would not otherwise
  • hearing about interesting stuff from other fields, and
  • powerfully enhancing the conference experience. I can even ‘be’ at conferences without being there!

For research, it’s an amazing tool to bring together ideas and people and talk about their work. When I was looking at setting up a project to improve breathlessness in palliative patients, I asked my Twitter mates as well as doing a formal lit search. They kindly send me a stack of stuff including some unpublished data by leaders in the field which I had no way of knowing about otherwise. I was able to connect with people doing similar work in the UK.

 

Here’s a proper talk about how to get on to Twitter

 

My quick summary would be

 

  1. What is everyone talking about? Just jump on at twitter.com and have a look. Search for a couple of hastags that are interesting to you. You could try #palliative or #hpmglobal (hospice and palliative medicine global).

 

  1. What is this # thing? A hashtag is a way that people mark the topic of their tweet. So for example, if I wanted to ask a question about opioid use in Africa and want to ask the global palliative community, I might tweet

interested in learning about #palliative opioid use in africa #hpmglobal

 

  1. Join up. Choose a user name or “handle”. Mine is @sonialf. You can tell it’s my username as it starts with “@”. If I had my time again I would separate my personal identity from my professional identity.

 

  1. Follow some people. To follow someone, click on their handle then press “follow”. You will then see all the tweets they make. Follow @palliverse, of course!

 

  1. Check out some chats. Try  #hpmglobal at 22:00 AEST on Monday nights and #hpm on Thursdays. Or #hcsmanz (health care social media Australia/New Zealand) at 20:00 AEST Sunday nights. Just type the hashtag into the search bar at the appropriate time, and viola! A group of people around the world come together at this prearranged time to discuss a predetermined topic. All their tweets will be marked with the relevant hashtag.

 

Next time… twitter 102 – I know what a hashtag is – what’s next?

Cheers, Sonia

Some references:

http://futuredocsblog.com/top-twitter-myths-tips/

Should doctors use Twitter? http://www.amednews.com/article/20090629/business/306299993/4/