Sonya Bushell
@sonyabushell.bsky.social
Resident doctor. Passionate about palliative care, shared decision-making, advance care planning and generalism. Pursuing a clinical academic career.
Pinned
This study suggests that #AdvanceCarePlanning may be well-received and could be discussed earlier with adults living with long-term conditions, before onset of advanced illness or severe frailty doi.org/10.3399/BJGP... @sonyabushell.bsky.social @wolfsonpallcare.bsky.social #PrimaryCare
So exciting to see this research published! It's on a topic I'm so passionate about. Thank you to everyone who has supported me.
When we see the person and not the disease we can design person-centred and proactive healthcare - and advance care planning could be part of that.
When we see the person and not the disease we can design person-centred and proactive healthcare - and advance care planning could be part of that.
Reposted by Sonya Bushell
How to change the world from your little place in it?
***
Speak about your passions a little.
Do what you’re scared of a little.
Challenge your tribe a little.
Pause before you react a little.
Believe that everyone is struggling a little.
Spread hope a little.
Love yourself at least a little.
***
Speak about your passions a little.
Do what you’re scared of a little.
Challenge your tribe a little.
Pause before you react a little.
Believe that everyone is struggling a little.
Spread hope a little.
Love yourself at least a little.
January 31, 2026 at 7:41 AM
How to change the world from your little place in it?
***
Speak about your passions a little.
Do what you’re scared of a little.
Challenge your tribe a little.
Pause before you react a little.
Believe that everyone is struggling a little.
Spread hope a little.
Love yourself at least a little.
***
Speak about your passions a little.
Do what you’re scared of a little.
Challenge your tribe a little.
Pause before you react a little.
Believe that everyone is struggling a little.
Spread hope a little.
Love yourself at least a little.
Seeing my research in print is so exciting, and it's featured in the BJGP editorial too! So grateful to all at @wolfsonpallcare.bsky.social
January 31, 2026 at 1:19 PM
Seeing my research in print is so exciting, and it's featured in the BJGP editorial too! So grateful to all at @wolfsonpallcare.bsky.social
Reposted by Sonya Bushell
I’d love this to be normal practice - I’ve always said everyone should have a TEP form in hospital because it normalises these discussions. Early versions where full escalation appropriate, with gradual change to comfort as priority
January 30, 2026 at 10:15 PM
I’d love this to be normal practice - I’ve always said everyone should have a TEP form in hospital because it normalises these discussions. Early versions where full escalation appropriate, with gradual change to comfort as priority
Reposted by Sonya Bushell
Absolutely agree.
No-one with a LTC should present in a foreseeable crisis without a plan for action. Useful to guide patient & family, carers, first responders, ED etc, & plans made collaboratively respect the patient's values.
No-one with a LTC should present in a foreseeable crisis without a plan for action. Useful to guide patient & family, carers, first responders, ED etc, & plans made collaboratively respect the patient's values.
January 30, 2026 at 10:50 PM
Absolutely agree.
No-one with a LTC should present in a foreseeable crisis without a plan for action. Useful to guide patient & family, carers, first responders, ED etc, & plans made collaboratively respect the patient's values.
No-one with a LTC should present in a foreseeable crisis without a plan for action. Useful to guide patient & family, carers, first responders, ED etc, & plans made collaboratively respect the patient's values.
My research is in here!
NEW ISSUE: BJGP Feb 2026 on Older People, with Research on: faecal calprotectin, advance care planning, and dementia costs. Plus, winter pressures, heart-sink consultations, and the future of fit notes. Also, don't miss 'How to Use a Stethoscope'.
Read: doi.org/10.3399/bjgp...
#BJGP #PrimaryCare
Read: doi.org/10.3399/bjgp...
#BJGP #PrimaryCare
January 30, 2026 at 8:05 PM
My research is in here!
Reposted by Sonya Bushell
Any progress in the last 3 years in reducing poorly designed and poorly integrated NHS Hospitals' Clinical IT systems?
I still get shivery thinking about the wasteful use of so much Clinicians' time, time when they should be diagnosing & treating patients @vidimo.bsky.social @ihieurope.bsky.social
I still get shivery thinking about the wasteful use of so much Clinicians' time, time when they should be diagnosing & treating patients @vidimo.bsky.social @ihieurope.bsky.social
January 27, 2026 at 9:35 PM
Any progress in the last 3 years in reducing poorly designed and poorly integrated NHS Hospitals' Clinical IT systems?
I still get shivery thinking about the wasteful use of so much Clinicians' time, time when they should be diagnosing & treating patients @vidimo.bsky.social @ihieurope.bsky.social
I still get shivery thinking about the wasteful use of so much Clinicians' time, time when they should be diagnosing & treating patients @vidimo.bsky.social @ihieurope.bsky.social
Reposted by Sonya Bushell
FREE webinar on out-of-hours end-of-life care
📅 Thursday 5th March 1.00-2.30pm
🖥️ Online via Teams
📊Short talks on the latest research & evidence plus a panel discussion - with me, Kate Heaps, Therese Johansson, Joanna Davies and Alice Firth
Sign up: www.tickettailor.com/events/facul...
📅 Thursday 5th March 1.00-2.30pm
🖥️ Online via Teams
📊Short talks on the latest research & evidence plus a panel discussion - with me, Kate Heaps, Therese Johansson, Joanna Davies and Alice Firth
Sign up: www.tickettailor.com/events/facul...
January 22, 2026 at 8:25 PM
FREE webinar on out-of-hours end-of-life care
📅 Thursday 5th March 1.00-2.30pm
🖥️ Online via Teams
📊Short talks on the latest research & evidence plus a panel discussion - with me, Kate Heaps, Therese Johansson, Joanna Davies and Alice Firth
Sign up: www.tickettailor.com/events/facul...
📅 Thursday 5th March 1.00-2.30pm
🖥️ Online via Teams
📊Short talks on the latest research & evidence plus a panel discussion - with me, Kate Heaps, Therese Johansson, Joanna Davies and Alice Firth
Sign up: www.tickettailor.com/events/facul...
Reposted by Sonya Bushell
📢 The BMJ's Medics’ Revue is back 📢
Got a sketch, song, poem, or skit about medicine? Submit your entry by 28 February 2026.
Email [email protected] with your script, recording, or idea.
🎭 🎤🕺Perform in London’s West End on 15 May 2026
More details: bit.ly/4pO188H
Got a sketch, song, poem, or skit about medicine? Submit your entry by 28 February 2026.
Email [email protected] with your script, recording, or idea.
🎭 🎤🕺Perform in London’s West End on 15 May 2026
More details: bit.ly/4pO188H
January 22, 2026 at 3:35 PM
📢 The BMJ's Medics’ Revue is back 📢
Got a sketch, song, poem, or skit about medicine? Submit your entry by 28 February 2026.
Email [email protected] with your script, recording, or idea.
🎭 🎤🕺Perform in London’s West End on 15 May 2026
More details: bit.ly/4pO188H
Got a sketch, song, poem, or skit about medicine? Submit your entry by 28 February 2026.
Email [email protected] with your script, recording, or idea.
🎭 🎤🕺Perform in London’s West End on 15 May 2026
More details: bit.ly/4pO188H
Reposted by Sonya Bushell
Very interesting to see actual evidence for it but I suspect not surprising to a lot of geriatricians.
Especially frustrating with bed pressures that you have medically fit patients with dementia/resolving deleroum moved to D/C wards waiting social care
Only for that move to trigger a deterioration
Especially frustrating with bed pressures that you have medically fit patients with dementia/resolving deleroum moved to D/C wards waiting social care
Only for that move to trigger a deterioration
Key point:
In hospitalized older adults, each ward change increased length of stay by 5 days and a further 1.7 days for those with dementia.
How many ward changes per 100 patients in your average hospital?
For bed days lost, times that by:
• 5 for pts ≥65
• 6.7 in those w/ dementia (10%)
In hospitalized older adults, each ward change increased length of stay by 5 days and a further 1.7 days for those with dementia.
How many ward changes per 100 patients in your average hospital?
For bed days lost, times that by:
• 5 for pts ≥65
• 6.7 in those w/ dementia (10%)
January 17, 2026 at 10:01 AM
Very interesting to see actual evidence for it but I suspect not surprising to a lot of geriatricians.
Especially frustrating with bed pressures that you have medically fit patients with dementia/resolving deleroum moved to D/C wards waiting social care
Only for that move to trigger a deterioration
Especially frustrating with bed pressures that you have medically fit patients with dementia/resolving deleroum moved to D/C wards waiting social care
Only for that move to trigger a deterioration
So exciting to see this research published! It's on a topic I'm so passionate about. Thank you to everyone who has supported me.
When we see the person and not the disease we can design person-centred and proactive healthcare - and advance care planning could be part of that.
When we see the person and not the disease we can design person-centred and proactive healthcare - and advance care planning could be part of that.
This study suggests that #AdvanceCarePlanning may be well-received and could be discussed earlier with adults living with long-term conditions, before onset of advanced illness or severe frailty doi.org/10.3399/BJGP... @sonyabushell.bsky.social @wolfsonpallcare.bsky.social #PrimaryCare
January 15, 2026 at 1:42 PM
So exciting to see this research published! It's on a topic I'm so passionate about. Thank you to everyone who has supported me.
When we see the person and not the disease we can design person-centred and proactive healthcare - and advance care planning could be part of that.
When we see the person and not the disease we can design person-centred and proactive healthcare - and advance care planning could be part of that.
The Christmas BMJ hosts a beautiful dictionary for medicine's unnamed moments, curated by @drmattmorgan.bsky.social
Stilltone really spoke to me
thedictionaryofbloodandsilence.com
Stilltone really spoke to me
thedictionaryofbloodandsilence.com
January 10, 2026 at 2:24 PM
The Christmas BMJ hosts a beautiful dictionary for medicine's unnamed moments, curated by @drmattmorgan.bsky.social
Stilltone really spoke to me
thedictionaryofbloodandsilence.com
Stilltone really spoke to me
thedictionaryofbloodandsilence.com
Reposted by Sonya Bushell
Of critical importance this year was @elspethdavies.bsky.social look at polarisation in medicines and how we can possibly hope to get back to more understanding in scientific debate. www.bmj.com/content/391/...
Polarisation in medicine: how can we better engage with people who disagree with us?
Silos have formed in a range of debates in medicine. We need to work together to move beyond this polarisation, writes Elspeth Davies
### Biography
Elspeth Davies is a senior researcher at the Univ...
www.bmj.com
December 29, 2025 at 1:44 PM
Of critical importance this year was @elspethdavies.bsky.social look at polarisation in medicines and how we can possibly hope to get back to more understanding in scientific debate. www.bmj.com/content/391/...
Reposted by Sonya Bushell
Centre contributed to 13.6 % reduction in emergency hospital admissions for people over 80 in Hull and now evidence of improvement in QOL and wellbeing #Frailty
Our #PACEstudy shows visiting #JeanBishopIntegratedCareCentre can improve the wellbeing of older people living with frailty. @uniofhull.bsky.social trial comparing the wellbeing and QOL of individuals who received care at Centre with group in the community without it. www.hyms.ac.uk/research/sto...
Integrated Care Centre boosts wellbeing of patients with frailty
Research has shown that the Jean Bishop Integrated Care Centre improves the wellbeing of older people living with frailty.
www.hyms.ac.uk
April 3, 2025 at 2:36 PM
Centre contributed to 13.6 % reduction in emergency hospital admissions for people over 80 in Hull and now evidence of improvement in QOL and wellbeing #Frailty
Reposted by Sonya Bushell
EAPC Congress 2026 is the premier event for those dedicated to advancing palliative care. Don’t miss out—secure your place now! Early bird rates are available until February 28.
For further information, please visit the congress registration page.
eapcnet.eu/congress/202...
For further information, please visit the congress registration page.
eapcnet.eu/congress/202...
January 6, 2026 at 5:30 AM
EAPC Congress 2026 is the premier event for those dedicated to advancing palliative care. Don’t miss out—secure your place now! Early bird rates are available until February 28.
For further information, please visit the congress registration page.
eapcnet.eu/congress/202...
For further information, please visit the congress registration page.
eapcnet.eu/congress/202...
Reposted by Sonya Bushell
Reposted by Sonya Bushell
So exciting to have my abstract accepted for @eapcvzw.bsky.social - looking forward to interesting conversations and beautiful surroundings in Prague!
January 6, 2026 at 6:21 PM
So exciting to have my abstract accepted for @eapcvzw.bsky.social - looking forward to interesting conversations and beautiful surroundings in Prague!