Lightnews — Scholar-powered news

Reposted by Sharon Hudson she/her/they

Paul Howard @paulhoward.bsky.social · Jun 21

Sorry for such a longwinded answer!!!
It's just that I'm pleased you're looking at it because I'm really keen that we move away from these practices; needles hurt, and it's unnecessary to put in separate PRN lines and/or 2nd pumps for a 4th drug etc.

1 4

Reposted by Sharon Hudson she/her/they

Paul Howard @paulhoward.bsky.social · Jun 21

The other main change in the updated CSCI chapter was removal of the "don't mix more than 3 drugs" advice. It's completely baseless and there's now a wealth of 4, 5 and 6 drug compatibility data

1 1

Reposted by Sharon Hudson she/her/they

Paul Howard @paulhoward.bsky.social · Jun 21

Therfore, PCF chapter on CSCI updated it's advice last year to say "side ports can be used provided compatibility is considered"

Just to add, I've routinely used side ports for years without problem: some patients find SC cannula placement painful and we have no reason to put in a separate PRN line

2 1 1

Reposted by Sharon Hudson she/her/they

Paul Howard @paulhoward.bsky.social · Jun 21

Reason it has so little impact is that the PRN effectively pushes a bolus of the CSCI admixture thru, which offsets the 30minute or so time that the infusion is effectively suspended (ie time taken for more admixture to make its way thru the deadspace)

1 1

Reposted by Sharon Hudson she/her/they

Paul Howard @paulhoward.bsky.social · Jun 21

Even midazolam (halflife can be as short as 1hr) would only drop to 95% of it's steady state level using a safeTintima (the deadspace affects the calculation)

1 1

Reposted by Sharon Hudson she/her/they

Paul Howard @paulhoward.bsky.social · Jun 21

Secondly, a concern that the PRN bolus interfered with the levels of the infused drug.
If you email me, I can send you a spreadsheet that models this. But in short, we don't use anything with a short enough halflife to matter.

1 1

Reposted by Sharon Hudson she/her/they

Paul Howard @paulhoward.bsky.social · Jun 21

Firstly, compatibility Deciding whether the PRN can mix with the infusion is fairly straightforward both for specialists (who are used to doing it) and to generalists (providing their standard 4 JIC drugs don't include cyclizine - a good reason to avoid it, plus alternatives double up for agitation)

1 1

Reposted by Sharon Hudson she/her/they

Paul Howard @paulhoward.bsky.social · Jun 21

Traditionally, some steered clear of the side port due to 2 considerations (though unnecessarily, in my view).

1 1

Sharon Hudson she/her/they @sharonhudson.bsky.social · Jun 21

Thank you! Makes a lot of sense. Updating our guidelines but seems to have been previously based on best guess and legend. Really grateful

1

Sharon Hudson she/her/they @sharonhudson.bsky.social · Jun 21

@paulhoward.bsky.social Hi Paul. I'm trying to find the evidence or guidelines around use of the side port for prns when there is an existing syringe driver and drawing a blank. Do you have any ideas?

1 1 2

Reposted by Sharon Hudson she/her/they

Caroline Litman @alicemydaughter.bsky.social · May 27

To mark the 1st day of my 4th year without Alice I have an announcement:
I’ve joined up with a determined group of women working to change the narrative around trans people. Women standing in solidarity with our trans siblings.

Our first step is to ask cis women to read and sign our open letter ⬇️

Not in our name: Women in support of the trans+ community

Can you spare a minute to help this campaign?

chng.it

43 690 1.2K

Sharon Hudson she/her/they @sharonhudson.bsky.social · May 29

#EAPC2025 interested editorial for discussion...

Sharon Hudson she/her/they @sharonhudson.bsky.social · May 29

"If we as individuals and players in health systems, lean into discomfort, & it IS uncomfortable, of being with people we find different to ourselves & put down the pressure to know everything about everyone, we might connect back to our professional & human curiosity?" 👏 @jedjerwood.bsky.social

Dr Jed Jerwood (PhD) @jedjerwood.bsky.social · May 28

Really pleased to share this reflective editorial published today in Progress in Palliative Care
www.tandfonline.com/eprint/TMKYD...
@nobarriershere.bsky.social @gemmaallen.bsky.social @ellieclack.bsky.social @sharonhudson.bsky.social @jamillahussain1.bsky.social

Sharon Hudson she/her/they @sharonhudson.bsky.social · May 29

"If we as individuals and players in health systems, lean into discomfort, & it IS uncomfortable, of being with people we find different to ourselves & put down the pressure to know everything about everyone, we might connect back to our professional & human curiosity?" 👏 @jedjerwood.bsky.social

Dr Jed Jerwood (PhD) @jedjerwood.bsky.social · May 28

Really pleased to share this reflective editorial published today in Progress in Palliative Care
www.tandfonline.com/eprint/TMKYD...
@nobarriershere.bsky.social @gemmaallen.bsky.social @ellieclack.bsky.social @sharonhudson.bsky.social @jamillahussain1.bsky.social

Reflections on working in health inequity in palliative care: Learning from the No Barriers Here project five years on

Published in Progress in Palliative Care: Science and the Art of Caring (Ahead of Print, 2025)

www.tandfonline.com

5 8

Reposted by Sharon Hudson she/her/they

Jeff Tiedrich @jefftiedrich.bsky.social · May 21

first they came for the white South Africans, and I didn't speak out— because no one is coming for the white South Africans, you deranged paranoid lunatics. what the fuck is wrong with you

240 3K 15K

Reposted by Sharon Hudson she/her/they

Commission on Palliative and End-of-Life Care @endoflifecarecommn.bsky.social · May 14

“Death is inevitable but pain and distress need not be."
Yesterday, the Commission launched its report in Parliament. Sir Mike Richards, Chair of the Commission on Palliative and End-of-Life Care, emphasised how joined-up palliative care can profoundly benefit patients, the NHS, and acute hospitals.

3 6

Sharon Hudson she/her/they @sharonhudson.bsky.social · May 9

What a way to end the week. Wonderful.

1 2

Reposted by Sharon Hudson she/her/they

Gemma Allen (she/her) @gemmaallen.bsky.social · May 9

A fabulous Friday!

Thank you @drkathrynmannix.bsky.social for insightful, thoughtful & honest conversations, plus adding your wise words to our hospice wisdom tree 🌲

Also a big thank you to @jedjerwood.bsky.social & @sharonhudson.bsky.social

#palliativecare #hospice #DyingMattersAwarenessWeek

4 4 8

Reposted by Sharon Hudson she/her/they

Professor Judith Smith @profjudithsmith.bsky.social · Mar 14

My article for @uk.theconversation.com on plans to abolish NHS England. In summary: the policy centre does need rationalisation, but this sudden axing of NHSE together with halving staff in integrated care boards risks a distracting & protracted reorganisation. theconversation.com/abolishing-n...

Abolishing NHS England could shift power from the centre – but health service overhauls rarely go well

The UK government is set to bring the NHS back under direct political control.

theconversation.com

3 15 37

Reposted by Sharon Hudson she/her/they

Ian Dunt @iandunt.bsky.social · May 1

Everything you need to know about the trans Supreme Court case: What it said, what it didn't, and what happens next iandunt.substack.com/p/everything...

Everything you need to know about the trans Supreme Court case

What it said, what it didn't, and what happens next.

iandunt.substack.com

73 270 600

Reposted by Sharon Hudson she/her/they

Jamilla Hussain @jamillahussain1.bsky.social · Apr 20

The roots of racism, sexism, ableism&transphobia are the same

You don’t have to look far to see this in play right now

As a priority, I worry for trans women and men right now… and ultimately for all
minorities, we know where this is heading

Don’t be silent

#supremecourt

1 2 5

Reposted by Sharon Hudson she/her/they

Dr. Jonathan N. Stea @jonathanstea.bsky.social · May 2

Could you imagine if the head of the United States healthcare system didn’t believe that HIV caused AIDS?

…And that instead they believed that AIDS is caused by recreational drugs (“poppers”) used by gay people?

Oh wait…🥴