Anna Belle

Back in the UK....proud Palliative Care ACP in UK and NP in Australia and Doctorate Student #PalliativeCare #NursePractitioner 💕 Views my own ☺️

[Shaun Lintern @ShaunLintern]

Nurses can deliver hospital care just as well as doctors, according to a new @cochranecollab review https://t.co/95WoTZvl9P

[Anna Sutherland @annasutherlan15]

New guidelines 📢📢

Nausea and vomiting https://t.co/E8wHUckr5K

Malignant spinal cord compression

https://t.co/2k35DBYDvz

@Palliative_Scot @edstrathcarron @DonnaWakefield_ @doctor_oxford @Existential_Doc @UK_PRC @APMPostTweets @Paul_Howard_IoW @IAHPC @kesleeman @drol007

[luly @myhazlulu]

Italy = quality ✨
Sorry but facts
#ESC2025
#EscITA2025

[Anna Belle @Anna_BelleNP]

Born next to the ground, travelled the world, had the Croydon Advertiser posted to wherever he was, now 95 and still an Eagles supporter @CPFC
#CPFC ♥️ 💙 #FACupFinal

[Nursing in Practice @NurseinPractice]

Respiratory nurse lead Carol Stonham outlines what nurses in primary care need to know about changes in the diagnosis and treatment of asthma, following recently updated UK joint guidelines
https://t.co/CC74Px6kZA

[Prof. Mark Taubert @ProfMarkTaubert]

NEW: A UK resident registrar doctor returning from Western Australia, has given written evidence of his observations of #AssistedDying there. Here is what he found, based on experience with patients he saw 🇬🇧 🇦🇺 🧵
https://t.co/c5kgrWplog

[michael sheen 💙 @michaelsheen]

The National Theatre’s Michael Sheen-Starring Nye is Streaming for Free This Week November 7-11: How to Watch https://t.co/lOnpFEhzIu

[Shaun Lintern @ShaunLintern]

Ask the Great British public for ideas about the NHS...we have the predictable bin fire of opinions - too many managers, fines, charge immigrants, nurses are too fat, they don't need degrees etc etc. I pity the civil servant who has to sift through this: https://t.co/6tYUQfkum8

[Tony Duffy @Existential_Doc]

Gabapentin increases risk of severe COPD exacerbations https://t.co/JMNt6E32qV.

[Cicely Saunders Institute at King's @CSI_KCL]

Hot off the press: BETTER-B trial results now published by the Lancet Respiratory Medicine: https://t.co/c0UzVujJ0q

Key finding: the antidepressant mirtazapine does not alleviate severe breathlessness. Findings raise questions about off-label medicines.

[PulseToday @pulsetoday]

NHSE wrote to ICBs and trusts yesterday warning about the impact of potential collective action by GPs, which is expected to start on 1 August, depending on the results of a ballot of partners. https://t.co/9BpCjqNO5a

[Accurx @Accurx]

In response to the ongoing EMIS outage, our engineers built and deployed a new feature called Clinics, available now through Accurx Web.
❗This is a trial in response to the outage.
This feature will only work if you have access to Self-Book
More here 👉 https://t.co/JvB5kBUOO4

[Anna Belle @Anna_BelleNP]

@ann_bowman It is not uniformilly restricted, it depends on your scope, some NMP's do have open prescribing

[PulseToday @pulsetoday]

GP practices should move to a waiting list system for appointments as demand ‘currently greatly outstrips capacity’, the BMA has recommended. https://t.co/mCoW2UkDBN

[Anna Belle @Anna_BelleNP]

This makes me so sad and very angry

[Hospice UK @hospiceuk]

It's heartbreaking to see @Hospiscare cut essential end-of-life services due to a £2.5m deficit amid rising costs and reduced donations.

Hospices are facing the worst financial crisis in 20 years. Sustainable funding is needed now.

https://t.co/hW8MxYWkak

[APMEducationHub @APM_Hub]

⭐️NEW⭐️
Palliative Care for FY1’s Resources Now Available https://t.co/XzkoJdXPsl

This page contains webinars & resources to help newly graduated #medicalstudents feel prepared to provide #palliative & end-of-life care as foundation doctors. Content produced by @APMJuniors

[PulseToday @pulsetoday]

Draft NICE/BTS/SIGN guidelines on diagnosis, monitoring and management of asthma recommends significant changes to current treatment approaches https://t.co/dSdSZ1Wg75

[Pharmacopalliation @pharmacopallia]

🤢🤮Opioid induced N&V🤮🤢

➡️ Nausea often occurs with the start of opioid therapy but usually resolves quickly.

➡️ Persistent nausea is less frequent and may include other symptoms like dry mouth, reflux, anorexia, early satiety, and bloating.

➡️ Individual responses to opioids vary; one might tolerate oxycodone better than morphine and vice versa.

➡️ Opioids can cause nausea via:
✅chemoreceptor trigger zone, ✅vestibular sensitivity, and
✅delayed gastric emptying.
✅Constipation, stool impaction, as well as taste and texture of chosen formulation may also cause or worsen symptoms.

➡️ Opioid rotation or changing administration routes (e.g., oral to subcutaneous) may help with persistent nausea.

➡️ Persistent nausea often responds well to antiemetics, the choice of which should be guided by the likely underlying mechanism by which the opioid has induced nausea and vomiting. Chemically mediated / CTZ = haloperidol; gastric stasis = prokinetic (domperidone or metoclopramide); vestibular sensitivity (cyclizine); constipation (laxatives); taste / palatability = change formulation)

[Anna Belle @Anna_BelleNP]

@tonihazellgp @ClareFuller17 Yes, but some families still become disconcerted by this at times, also feel with these expected deaths many patients & families are keen to see their GP.

[Anna Belle @Anna_BelleNP]

@tonihazellgp @ClareFuller17 In my area if no gp visited or video called with pt in previous 28 days then still needs referral to Coroner atm.