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Reposted by Andrew Khodabukus

Paul Howard @paulhoward.bsky.social · Jan 13

Guanfacine is an alpha-2 adrenoceptor agonist (relatively a2A selective)
Like tizanidine, it is oral only and causes less hypotension than clonidine and dexmedetomidine
This review examines potential use in delirium; they found case reports/open label series, but no RCTs

doi.org/10.1016/j.cc...

Redirecting

doi.org

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Andrew Khodabukus @andkho.bsky.social · Dec 5

Deadline today!

Andrew Khodabukus @andkho.bsky.social · Nov 18

🪧 Train in Palliative Medicine in the United Kingdom
📅 Open 14 Nov 2024 - 5 Dec 2024
❔ Interviews 25 - 27 Mar 2025
👨‍⚕️ Start 6 Aug 2025
🌐 https://buff.ly/3Cun9Xj
@rcphysicians.bsky.social
@rcpsglasgow.bsky.social
#choosepallmed #palliativecare
https://buff.ly/3UXXPPL
@pccongress.bsky.social

United Kingdom Palliative Medicine Higher Specialty Training
Applications Open
10am Thursday 14 November 2024
Close
4pm Thursday 5 December 2024
#choosepallmed
https://www.phstrecruitment.org.uk/specialties/palliative-medicine

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Andrew Khodabukus @andkho.bsky.social · Nov 29

By focusing on these areas, the contributors argue we can effectively harness the power of digital technology to improve patient care and address future challenges. 💡🏥📊

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Andrew Khodabukus @andkho.bsky.social · Nov 29

✅ Encourage a problem-driven approach to AI adoption, focusing on specific needs and rigorous evaluation. ✅ Foster a culture of patient engagement in co-design and data consent processes.

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Andrew Khodabukus @andkho.bsky.social · Nov 29

Recommendations:

✅ Invest in building data analytics teams within trusts to enable effective data utilisation. ✅ Prioritise funding for EPR maintenance, infrastructure development, and staff training.

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Andrew Khodabukus @andkho.bsky.social · Nov 29

5️⃣ Collaboration: Partnerships between NHS trusts, academia, and industry are vital to leverage expertise, funding, and accelerate progress. I would add #hospice too in this.

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Andrew Khodabukus @andkho.bsky.social · Nov 29

4️⃣ Patient Engagement: Involving patients in co-designing solutions and obtaining consent for data use is essential for building trust and ensuring solutions meet patient needs. Really important for ePaCCS

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Andrew Khodabukus @andkho.bsky.social · Nov 29

3️⃣ AI Integration: A strategic approach is needed for AI implementation. Focus on identifying specific problems and then finding suitable AI solutions, rather than adopting AI for its own sake. Will the LLM help to clinically code?

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Andrew Khodabukus @andkho.bsky.social · Nov 29

2️⃣ Workforce Training: Comprehensive training for staff on using EPRs effectively, including shortcuts and data coding, is crucial to maximise benefits and avoid inefficiencies. IMO it is usually only a one off event.

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Andrew Khodabukus @andkho.bsky.social · Nov 29

1️⃣ Data Maturity: Many NHS trusts lack digital maturity due to insufficient funding for EPR maintenance and infrastructure development. This leads to difficulties in extracting and using data effectively., even bigger in the third sector.

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Andrew Khodabukus @andkho.bsky.social · Nov 29

The NHS has made progress in digital transformation, particularly with electronic patient records (EPRs). However, the podcast argues a bottom-up approach is crucial for further advancement. We are the input.

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Andrew Khodabukus @andkho.bsky.social · Nov 29

Analogue to digital in the NHS: is the shift within reach? – @healthfoundation.bsky.social podcast with Holly Krelle and Erik Mayer

🧵 NHS Digital Transformation: Bottom-Up Approach Is Key - a well timed podcast after and ePaCCS meeting.

Analogue to digital in the NHS: is the shift within reach? – with Holly Krelle and Erik Mayer

Episode 49. Moving the NHS from analogue to digital is one of the health secretary's priorities. So, what will it take?

buff.ly

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Andrew Khodabukus @andkho.bsky.social · Nov 29

📢 One week to go!
🪧 Train in Palliative Medicine in the United Kingdom
📅 Open 14 Nov 2024 - 5 Dec 2024
❔ Interviews 25 - 27 Mar 2025
👨‍⚕️ Start 6 Aug 2025
🌐 buff.ly/3Cun9Xj
@apmposts.bsky.social
#choosepallmed #palliativecare
buff.ly/3UXXPPL

United Kingdom palliative medicine higher sp specialty training applications open 10 am Thursday 14th November 2024 Close 4pm Thursday 5 December 2024 #choosepallmed HT ttps://ph s t r e c r u i t m e n t dot o r g.UK/specialties/palliative-medicine

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Andrew Khodabukus @andkho.bsky.social · Nov 28

Fantastic - the first of many from a great holistic practitioner! 🎉

Amy Reed RN 💙 @amyr1.bsky.social · Nov 28

My first poster @hospiceuk.bsky.social 🥰

Thanks to @amaranwosu.bsky.social @sarah-stan.bsky.social for taking it

The paracentesis service by Dr Sarah Fradsham @mariecurieuk.bsky.social Hospice, Liverpool is invaluable to patients, their families and the city of Liverpool 💛

#palliativecare
#hapc

Amara Nwosu @amaranwosu.bsky.social · Nov 26

Congratulations to @amyr1.bsky.social for her excellent poster about the innovation paracentesis service at @mariecurieuk.bsky.social #Hospice Liverpool. Excellent work!

Presented at #HospiceUkConf
@hospiceuk.bsky.social

#hapc
#hpm
#PalliativeCare

@sarah-stan.bsky.social

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Andrew Khodabukus @andkho.bsky.social · Nov 28

This BMJ article extends the PRISMA 2020 statement for living systematic reviews (PRISMA-LSR), providing a checklist and flow diagram to ensure transparent, complete, and accurate reporting of these reviews. Nice to see developing methodologies.

Extension of the PRISMA 2020 statement for living systematic reviews (PRISMA-LSR): checklist and explanation

Publications of living systematic reviews (LSRs) are increasing rapidly. Guidance facilitating transparent, complete, and accurate reporting of LSRs is needed. This paper reports the development of…

buff.ly

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Andrew Khodabukus @andkho.bsky.social · Nov 27

📢 The study highlights the urgent need for a clearer definition of palliative rehabilitation, increased funding, better care workflows, and enhanced professional training to improve care for individuals with incurable cancer. 💬📈🎓

Andrew Khodabukus @andkho.bsky.social · Nov 27

6️⃣ Insufficient funding, poorly defined care workflows, and a lack of expertise among healthcare professionals were identified as key barriers to integration. 💰🛤️🧑‍🎓

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Andrew Khodabukus @andkho.bsky.social · Nov 27

5️⃣ Access to palliative rehabilitation is inconsistent and varies significantly based on geographic location. 🌍📍

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Andrew Khodabukus @andkho.bsky.social · Nov 27

4️⃣ Stakeholders agreed that palliative rehabilitation requires a multi-professional, interdisciplinary approach. 🤝👩‍⚕️👨‍⚕️

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Andrew Khodabukus @andkho.bsky.social · Nov 27

3️⃣ However, there was confusion about the distinction between palliative rehabilitation and palliative care.

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Andrew Khodabukus @andkho.bsky.social · Nov 27

2️⃣ Stakeholders agreed on the core components of palliative rehabilitation, viewing it as a holistic, goal-oriented approach to enhance the quality of life for patients with incurable cancer.

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Andrew Khodabukus @andkho.bsky.social · Nov 27

1️⃣ Only 12 out of 23 official documents described rehabilitation in the context of palliative care. 📋

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Andrew Khodabukus @andkho.bsky.social · Nov 27

Integration of palliative rehabilitation in cancer care: a multinational mixed method study
https://palliativeprojects.eu/inspire/
The study examined official documents, conducted stakeholder interviews, and surveyed healthcare professionals. 📄

Integration of palliative rehabilitation in cancer care: a multinational mixed method study - BMC Palliative Care

Background Incurable cancer is a major contributor to societal suffering and disability, and palliative rehabilitation is recommended to be integrated within and between cancer services at all…

bmcpalliatcare.biomedcentral.com

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Andrew Khodabukus @andkho.bsky.social · Nov 26

It's a great article and she was great with outcome measure stuff too!

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Andrew Khodabukus @andkho.bsky.social · Nov 26

8/ 🌟 Improving palliative care access can significantly benefit patients, families, and healthcare systems. It's time to act!
https://thewhpca.org/