Toggle navigation
TWunroll
TWunroll
faq
Contact US
Tony Duffy đź’™
Existential_Doc
“Our difficulty to perceive the experience of others, is all the more pronounced the more distant these experiences are from ours in time, space or quality” -G MateGenuine empathy with
Read more
Malignant bowel obstruction: A palliative thread Possibly one of the most complex and challenging presentations in palliative care.Eating, drinking and going to the toilet are habits of a lifetime. Obstruction
Read more
Usually best to avoid labelling anyone as “being palliative” or having “palliative cancer/heart failure etc.”The approach to their management may adopt a palliative philosophy but it is not an umbrella
Read more
Breathlessness: A palliative care thread “Breathe deeply, until sweet air extinguishes the burn of fear in your lungs and every breath is a beautiful refusal to become anything less than
Read more
Itch: A palliative care threadAs with Nausea and Vomiting the best approach is to identify the underlying cause if possible. Treatment can be targeted to best improve symptoms and reduce
Read more
Opioid toxicty: A thread (with a palliative theme)Let’s start by thinking about tue difference between side-effects of opioids from toxicity. Side-effects: the secondary, usually undesirable effects other than pain reliefConstipationDry
Read more
Hypercalcaemia in malignancyA thread Occurs in 20-30% of all cancers80% due to humoral release of PTHrP which mimicks parathyroid hormone (PTH) 20% due to local osteolytic processes driven by tumour
Read more
Constipation- A quick thread Often overlooked, not deliberately but if we don’t ask we will never know. First step in management is to take a good history When did bowels
Read more
Palliative care pearls Please add your own and share: “Carry a pocket torch and look at you patient’s mouth regularly: mouth care is a vital but often overlooked aspect of
Read more
Nausea and Vomiting: A thread (mostly for fun)First a little background adapted from Dylan Harris: lecturer at University of Cardiff. Chemoreceptor trigger zoneLocated at the blood brain barrier in 4th
Read more
Analgesia: a quick thread(Mostly for fun)Paracetamol: old faithful and only surviving analine analgesic. Mild pain and pyrexia. Beware low body weight and pill burden esp in severe pain. Codeine: mild
Read more
Breaking bad news (Badly) to the mafia boss - A ThreadThings kick off when the tells Tony he’s “ now palliative” It’s not started well so try to get the
Read more
By continuing to use the site, you are consenting to the use of cookies as explained in our
Cookie Policy
to improve your experience.
I agree