Diane Laverty

Nurse Consultant in Palliative Care @Ldn_ambulance. Views expressed our my own.

[Diane Laverty @DianeLaverty4]

@claire_taylor22 @AdrienneBettel3 With grateful thanks for your best wishes @claire_taylor22 & @Duncan_CNO

[The British Pain Society @BritishPainSoc]

We are deeply saddened by the passing of our council member and friend, Felicia “Flick” Cox, a devoted nurse, mentor and tireless advocate for people in pain. Our thoughts are with her family. Condolences and memories can be shared on Flick’s memorial page https://t.co/HzyWiUjtud

[Prof Katherine Sleeman @kesleeman]

Having now watched the full debate, I am concerned about the Minister’s lack of consideration of *why* a palliative care assessment is crucial.

She indicates that palliative care referrals should be made on the basis of *need*. Agreed.

But she does not appear to recognise that those requesting lethal substances to end their life are by definition in an *urgent need* category.

A referral to our team of someone who wanted to end their life would be prioritised.

[Prof Katherine Sleeman @kesleeman]

Safest-assisted-dying-bill-in-the-world latest 😢

[Nikki da Costa @nmdacosta]

Peers are justified in blocking assisted dying bill

https://t.co/OoBBtPLMFb

[Dr Elizabeth Miller 🇳🇿🐝 MRPSGB @ejmille1]

Note the need for access to #ACP #RESPECT to inform decision making by paramedics.
Delays in access to out of hrs medication continue to drive avoidable hospital attendance.
@AACE_org @AnnaParry12 @CamplingNatasha
@MarieCurieEOLC
@DianeLaverty4
@ParamedicsUK
@ParAidStudy

[Prof Katherine Sleeman @kesleeman]

Joint statement from @RCPhysicians and @rcpsych sent to all MPs.

It couldn’t be clearer: the Bill does not provide sufficient protection for vulnerable people.

And yet… hundreds of MPs will vote for this Bill based on a campaigning soundbite that it’s ’safest in the world’.

[Georgina Murphy-Jones @GeorginaM_Jones]

Calling all #paramedics interested in palliative and end-of-life care. Free webinar series making its way around the globe - UK tomorrow 4pm. @ParamedicsUK

Registration: https://t.co/q1KonD6syi

[Fraser Nelson @FraserNelson]

Assisted dying would be provided by private companies to protect NHS waiting lists: exclusive from Lara Spirit and Chris Smyth

https://t.co/D3rBCeJQOk

[Prof Katherine Sleeman @kesleeman]

I was one of many who recommended in written evidence that everyone requesting assisted dying should have - at minimum - a palliative care assessment.

Lack of capacity is not a reassuring reason to reject this amendment.

Palliative care can alleviate a wish for hastened death.

[Tony Duffy @Existential_Doc]

Capsaicin cream not available in UK until 2026- one of the most random drug supply issues I’ve encountered this year so far and there have been many!

[Kathryn Mannix @drkathrynmannix]

This MPs letter illustrates misunderstanding & fear of ordinary dying.
All MPs should be required to attend detailed briefing on ordinary dying, pall care, the real but rare difficult deaths, & assessment of capacity, provided by non-campaigning experts.
https://t.co/4VNt6K5SEk

[Diane Laverty @DianeLaverty4]

@elzF @cewalshe @DawnGoodwin12 @IOELC @LancsDHR Well done 👍 @elzF Massive congrats 🥳

[Tony Duffy @Existential_Doc]

Mirtazapine to alleviate severe breathlessness in patients with COPD or interstitial lung diseases (BETTER-B): an international, multicentre, double-blind, randomised, placebo-controlled, phase 3 mixed-method trial - The Lancet Respiratory Medicine https://t.co/X0Q6lZG28a

[Tony Duffy @Existential_Doc]

Simple and effective: Improving malodour management in advanced cancer: a 10-year retrospective study of topical, oral and maintenance metronidazole https://t.co/Fx0yI4scEG

[Tony Duffy @Existential_Doc]

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

[Kathryn Mannix @drkathrynmannix]

Let's give patients & their treatment options the respect they deserve by insisting that these important conversations take place with the right supporters alongside the patient & with senior, experienced practioners (GPs, experienced nurses, senior trainee & consultant doctors).

[Kathryn Mannix @drkathrynmannix]

Neither the 'flag' forms nor any #ACP documents, however, should be 'checklist prompts' for good anticipatory care planning conversations. Those fully-rounded conversations require careful listening, encouragement & support. No form filling - just listening.

[Kathryn Mannix @drkathrynmannix]

Those of us who are experienced practitioners of conversations about dying rarely find that a #CPR discussion causes additional distress if it's properly embedded in a transparent & compassionate discussion about best treatment options, including discussion of dying.