Discover and read the best of Twitter Threads about #swpipc
Most recents (6)
Finally we end with Dr Andrew Tressider - a Somerset GP - with a specialist interest in health and self care.
Very often, we care for others, but we rarely care for ourselves.
#SWPiPC
Very often, we care for others, but we rarely care for ourselves.
#SWPiPC
It is important to take a minute, and put a dose of calm into the system.
Sitting up straight, feet flat on the floor and taking some deep breaths can activate the parasympathetic nervous system.
Look at the difference between sympathetic and parasympathetic drive.
#SWPiPC
Sitting up straight, feet flat on the floor and taking some deep breaths can activate the parasympathetic nervous system.
Look at the difference between sympathetic and parasympathetic drive.
#SWPiPC
Take a minute between patients, or a few times a day can really help us regulate ourselves.
Running on adrenaline (sympathetic arousal) can lead to long term negative effects on us.
These are all symptoms of other things but can strongly be related to ⬆️ stress.
#SWPiPC
Running on adrenaline (sympathetic arousal) can lead to long term negative effects on us.
These are all symptoms of other things but can strongly be related to ⬆️ stress.
#SWPiPC
Final lightening season of the day for me, @AAndybrereton - EoL Case Studies and working as a Paramedic in EoL care.
Andy opens by explaining his route to becoming a specialist EoL paramedic.
Paramedic > EoL HCA > B5 ‘nursing role’ > Training role > Specialist role
#SWPiPC
Andy opens by explaining his route to becoming a specialist EoL paramedic.
Paramedic > EoL HCA > B5 ‘nursing role’ > Training role > Specialist role
#SWPiPC
A remainder before we start from @AAndybrereton - this could be emotive, if you need to take a minute, please do, remember to be kind to yourself.
#SWPiPC
#SWPiPC
Andy continues by bringing in some real (highly anonymised) cases.
In @AAndybrereton’s locality, family are trained to deliver stat doses of analgesics.
In @AAndybrereton’s locality, family are trained to deliver stat doses of analgesics.
Headaches and Neurology with Dr Peter Miller.
Possibly the most popular presentation of the conference so far.
Starting with some hard hitting facts:
Headache = brain tumour = 1:1,000
Likelihood of migraine diagnosis being right = 9/10
#SWPiPC
Possibly the most popular presentation of the conference so far.
Starting with some hard hitting facts:
Headache = brain tumour = 1:1,000
Likelihood of migraine diagnosis being right = 9/10
#SWPiPC
PT with a headache? Some 🚩
🚩>50
🚩 Pregnancy
🚩Thunderclap
🚩Hx of malignancy or immunosuppressives
Any of these could be concerning.
Thunderclap, need to be asking speed of onset and is this the worst headache ever?
Onset is likely 0 > 10 in <5 mins.
#SWPiPC
🚩>50
🚩 Pregnancy
🚩Thunderclap
🚩Hx of malignancy or immunosuppressives
Any of these could be concerning.
Thunderclap, need to be asking speed of onset and is this the worst headache ever?
Onset is likely 0 > 10 in <5 mins.
#SWPiPC
Pregnancy - can be very complex
Migraines often worse in the first 1/3, often better in 2/3.
First occurrence of aura in pregnancy is quite common due to ⬆️ esteogren.
Serious causes = preeclampsia
Compare acute BP to booking BP in pregnancy.
#SWPiPC
Migraines often worse in the first 1/3, often better in 2/3.
First occurrence of aura in pregnancy is quite common due to ⬆️ esteogren.
Serious causes = preeclampsia
Compare acute BP to booking BP in pregnancy.
#SWPiPC
Up next:
Dr Bridget Carne - Consultation Skills
What are they?
Communication skills
- creating a relationship
- sharing information
- picking up cues
- working out a plan together
#SWPinPC
Dr Bridget Carne - Consultation Skills
What are they?
Communication skills
- creating a relationship
- sharing information
- picking up cues
- working out a plan together
#SWPinPC
“Consultation skills is a massive subject, so let’s focus on some some tools”
Patients often rehearse what they want to say - try introducing yourself and NOT asking a question - give the patient time to speak first.
#SWPiPC
Patients often rehearse what they want to say - try introducing yourself and NOT asking a question - give the patient time to speak first.
#SWPiPC
Practice the golden minute.
Try and keep silent for 1 minute and let the patient tell you what they want to tell you - the patient will often tell you what need to know.
Try active listening (nods, yeses, mmhm etc) to encourage the patient to speak.
#SWPiPC
Try and keep silent for 1 minute and let the patient tell you what they want to tell you - the patient will often tell you what need to know.
Try active listening (nods, yeses, mmhm etc) to encourage the patient to speak.
#SWPiPC
The challenge with NHS @ Home is we are not currently working to keep patients at home.
In the #BNSSG area:
84% of patients could have left hospital earlier. With an average of 16 extra bed days per patient.
In the #BNSSG area:
84% of patients could have left hospital earlier. With an average of 16 extra bed days per patient.
“We can do better”
➡️ frailty and increased care needs are not a surprise.
Patients aged 80+ (3% gen pop) account for 30,000 bed days annually.
#SWPiPC
➡️ frailty and increased care needs are not a surprise.
Patients aged 80+ (3% gen pop) account for 30,000 bed days annually.
#SWPiPC
The keynote panel of @SarahToddPara @helenbeau1 @Kirsty_LLR, Simon Robinson and Dr Bridget Carne are talking about pre and post registration training for Paramedics in the next 5 years.
#SWPiPC
#SWPiPC
@Kirsty_LLR mentions they are already talking about pre reg training changing in the 5th iteration of the curriculum to incorporate a larger focus on urgent care including long term condition management.
@helenbeau1 has discussed paramedics in primary care specialising in primary care.
@CoP_PrimUrgCare looking at launching a Co-badged steroid injunction course.
#SWPiPC
@CoP_PrimUrgCare looking at launching a Co-badged steroid injunction course.
#SWPiPC
