Rhian Last RN - Author, Editor and Educator
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rhianlast.bsky.social
Rhian Last RN - Author, Editor and Educator
@rhianlast.bsky.social
Winner 2021 FPM Medical Writing in Social Media Award for Europe
Books:
Reflective Leadership in Healthcare: a practical guide-Rhian Last & Sue Lillyman 2023
A Nurse’s Survival Guide to General Practice Nursing-Karen Storey & Rhian Last 2021
Reposted by Rhian Last RN - Author, Editor and Educator
My grandchild who was sectioned, cutting, anorexic, school refusing, overcome with intrusive thoughts, on antipsychotics a year ago has healed to become a joy filled high achieving 18 year old. My gratitude is beyond measure. Can a diagnosis alone achieve this? Autism.
August 2, 2025 at 5:11 AM
Reposted by Rhian Last RN - Author, Editor and Educator
Our first issue is out now! 🎉
#openaccess

Explore and download at: hubs.li/Q03yqVNW0

Read our inaugural Editorial, a varied selection of comments and research articles, and more.

Thank you to our authors and reviewers
#medsky #familymedicinesky #primaryhealthcare #primarycare #communitycare
July 24, 2025 at 10:09 AM
Reposted by Rhian Last RN - Author, Editor and Educator
also claiming if PA Scope restricted then patients will miss out on appointments& wait times/access worsen because of medical workforce gaps

But there are now (as
@thomasdolphin
rightly said) 1000s of drs unable to get training rotation or GP posts

So employ them instead
July 16, 2025 at 5:52 AM
Reposted by Rhian Last RN - Author, Editor and Educator
Stephen Nash from the PA trade association on BBC Breakfast

"Have you ever had patients thinking you were a doctor and how do you handle it when they do?"

"Well, when they are suffering from delirium...."
July 16, 2025 at 5:48 AM
Reposted by Rhian Last RN - Author, Editor and Educator
Next week - 24/7 is #InternationalSelfCareDay encouraging us to practise #selfcare every day - 24/7. Led by International Self-Care Foundation - this year's theme is #physicalactivity @gmmoving.co.uk @exerciseworks.bsky.social @haringeycyclists.bsky.social @rhianlast.bsky.social
July 16, 2025 at 11:10 AM
Reposted by Rhian Last RN - Author, Editor and Educator
Let's get the Anaesthetists over the line with their legal case to keep anaesthetics safe.

www.crowdjustice.com/case/stop-mi...
Stop misleading patients - Physician Associates cannot replace doctors
We are a group of anaesthetists (doctors trained in anaesthesia) that are unhappy with the way the medical establishment is selling patients and the profession short.
www.crowdjustice.com
July 8, 2025 at 9:02 AM
Reposted by Rhian Last RN - Author, Editor and Educator
Along with SCARU @imperialcollegeldn.bsky.social we ran one of the largest #selfcare studies. 3k+ people took part, the results showed a gap between what patients want & what professionals think. Read more: bit.ly/3G8FCuM @helensalisbury.bsky.social @rhianlast.bsky.social @helendon-rn.bsky.social
June 26, 2025 at 2:17 PM
Reposted by Rhian Last RN - Author, Editor and Educator
The government has pledged to review how GP funding is distributed so that ‘working-class areas’ receive their ‘fair share of resources’. #nursesky
buff.ly/N24TC8A
June 25, 2025 at 6:42 PM
Reposted by Rhian Last RN - Author, Editor and Educator
June 25, 2025 at 2:48 PM
Reposted by Rhian Last RN - Author, Editor and Educator
It's #WorldWellbeingWeek. #Wellbeing is crucial to our lives & livelihood. There are many aspects including physical, emotional, social, spiritual & financial. This blog by Wellbeing People explains more. bit.ly/3r5JVPL @rhianlast.bsky.social @sprescribing.bsky.social @writeforwellbeing.bsky.social
June 24, 2025 at 10:16 AM
Reposted by Rhian Last RN - Author, Editor and Educator
We are proud to partner with @pifonline.bsky.social and PCI in calling for credible, personalised health information to help people take control of their health - our research shows this is lacking and a barrier to #selfcare and better health outcomes. @helendon-rn.bsky.social @rhianlast.bsky.social
We have today published a joint statement with @selfcareforum.bsky.social and the Personalised Care Institute.

The statement calls for credible, personalised health information and advice to be embedded throughout the healthcare journey.

Read it in full here: pifonline.org.uk/resources/ma...
Joint statement: Making the 3 NHS shifts a reality - Patient Information Forum
The Patient Information Forum, Self-Care Forum and Personalised Care Institute have published a joint statement ahead of the publication of the NHS 10-Year Plan.
pifonline.org.uk
June 23, 2025 at 1:12 PM
Reposted by Rhian Last RN - Author, Editor and Educator
Some good news. Transport for London today: TfL has increased its area of wildflower verges by 130,000m2, putting it on track to reach a total of 520,000m2 by 2026

And as part of London Climate Action Week, 12,000 packets of wildflower seeds have been given away to encourage people to get planting.
June 23, 2025 at 10:15 AM
Reposted by Rhian Last RN - Author, Editor and Educator
Plenty studies showing that your postcode is a better predictor of your health outcomes than your genome.
The BBC & Telegraph are trailing Wes Streeting’s technophile health plans, including genomic mapping at birth.
Is this really gonna transform the NHS into a prevention service within 10 yrs, as Wes claims? For v rare genetic conditions, praps. But for the real burden of disease?

Thoughts, #medsky?
June 22, 2025 at 6:43 AM
Reposted by Rhian Last RN - Author, Editor and Educator
Thanks for the reminder @janemunday.bsky.social. Every summer, I repost this article DROWNING DOES NOT LOOK LIKE DROWNING. To date, I know of FOUR kids who were saved after someone who'd clicked on the link learnt how to spot actual drowning. Take time to read and pass on.

slate.com/technology/2...
Drowning Doesn’t Look Like Drowning
Drowning is not the violent, splashing call for help that most people expect.
slate.com
June 19, 2025 at 4:22 PM
Reposted by Rhian Last RN - Author, Editor and Educator
It might seem too early to plan November's #selfcareweek. But organising activities that will make the biggest impact will need planning. Ideas and tips here. bit.ly/2UM6V0m @copescotland.bsky.social @pcpa-uk.bsky.social @greenerpractice.bsky.social @adewilliams.bsky.social @rhianlast.bsky.social
June 18, 2025 at 3:05 PM
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This week is #WorldContinenceWeek — an important time to raise awareness and encourage open conversations about bladder and bowel health. We have a factsheet with symptom advice and other helpful info here: bit.ly/2tiBs9K @rhianlast.bsky.social @bladderboweluk.bsky.social @helendon-rn.bsky.social
June 18, 2025 at 8:51 AM
Reposted by Rhian Last RN - Author, Editor and Educator
Conversation with Prof Leng

Some of her quotes are quite telling

There’s a mismatch in what PAs think & say they can do, & what GPs say they can do

Over confidence put down to being told that they could & should by leaders/NHSE

Not safe for PAs to be seeing undifferentiated/undiagnosed patients
Physician associate review lead Professor Gillian Leng; and how GPs should manage antidepressant withdrawal
Pulse in Focus: The Podcast for GPs · Episode
open.spotify.com
June 17, 2025 at 6:05 PM
Reposted by Rhian Last RN - Author, Editor and Educator
Calling all Black Nursing Academic Colleagues. Let me know if you need more information and want to get involved.
👇🏽
#FAIRNursingStudy
June 18, 2025 at 7:10 AM
Reposted by Rhian Last RN - Author, Editor and Educator
"If your application for a specialist training place is causing you despair, you're not alone."

Juliet Dobson describes how medicine no longer offers the job security it used to, and the implications for everyone
www.bmj.com/content/389/...
June 16, 2025 at 6:43 PM
Reposted by Rhian Last RN - Author, Editor and Educator
Reposted by Rhian Last RN - Author, Editor and Educator
Have you applied for our #selfcare awards yet? If you support people's #selfcare practise consider it. A £1500 prize pot is available to share with winners. Apply by 31 July. bit.ly/4hJyRfB @rhianlast.bsky.social @qniscotland.bsky.social @nationalvoices.bsky.social @helendon-rn.bsky.social
June 16, 2025 at 7:28 AM
Reposted by Rhian Last RN - Author, Editor and Educator
It's #LegHealthWeek- a campaign by Legs Matter to put a spotlight on leg health and issues such as #VenousDisease. Symptoms include aching legs, spider veins, swollen ankles and a feeling of heavy legs. See our factsheet for advice: bit.ly/2tiBs9K @adewilliams.bsky.social @rhianlast.bsky.social
June 12, 2025 at 9:35 AM
Reposted by Rhian Last RN - Author, Editor and Educator
Check you in box!
June 9, 2025 at 8:07 AM