Last plenaries for the day about to begin - I'll be tweeting from this one- What is needed for better outcomes for breakthrough cancer pain? #21OPCC
Session chaired by Prof Gregory Crawford from Uni of Adelaide, Prof Andrew Davies from Trinity College, Dublin, Emeritus Prof Maree Smith from Uni of Qld, @diana_mbhf a #palliativecare researcher & cancer patient, & Dr Jessica Lee from Concord Centre for Palliative Care #21OPCC
Prof Andrew Davies - longstanding interest in breakthrough pain, disappointing thing is we still seem to have a problem in terms of diagnosing the problem, assessing it, and providing adequate medications #21OPCC
Prof Maree Smith - her interest is in the medicines that are available for breakthrough pain. What's really needed is an understanding of barriers to understanding the use of some medications over others? #21OPCC
Dr Diana Ferreria @diana_mbhf - experienced breakthrough pain when diagnosed with lymphoma, connected with movements and activities. Interested that when in hospital, pain scores collected, that do not necessarily relate to out-of-hospital settings #21OPCC
Dr Jessica Lee - pain assessment should be really comprehensive and cover not just pain, but other aspects that feed into it. ie how often pain occurs and severity of it #21OPCC
Dr Andrew Davies - diagnosis of breakthrough pain important, looking at characteristics of pain to help direct treatment methods. #21OPCC
"We've got a bit lazy in terms of pain control. We don't assess people quickly, & we don't reassess people" - Dr Davies #21OPCC
Dr Diana Ferreira @diana_mbhf - routine pain assessment very much embedded in the system and sometimes clinicians too much caught up in the score, and then too quick to medicate according to the pain score. #21OPCC
"Pain is much more complex than the physical sensation" - @diana_mbhf #21OPCC
Barriers to administration of breakthrough pain meds = dry mouths, education rqrd in completing lozenge meds, resources required by hospital staff to administer, misunderstanding of the pharmacology of the products #21OPCC
Dr Diana Ferrerira has experience prescribing Sublingual form, and similar experience to Jessica and Andrew- generally well-tolerated, some challenges in older people #21OPCC
From a patient perspective, she says "between one fentanyl and the next, there's a whole life to be lived." Sometimes, non-pharmacological therapies are as helpful in managing pain #21OPCC
Improving function and activities and quality of life is one of most important benefits of breakthrough pain therapies, and again, need to move away from managing pain scores #21OPCC

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More from @CroakeyNews

10 Sep
To wrap up the final day of #21OPCC, here are ten key quotes that give an overview of topics discussed today.
“Cultural aspect of what death and dying mean. Other countries do that so much better than what we do in Australia.” - Prof Patsy Yates #21OPCC @pastyymates
"Aged care facilities want to provide great care - if funded appropriately, we can do that better, capacity can be built." - Peter Jenkin #21OPCC
Read 12 tweets
9 Sep
Another full day of interesting and insightful discussions about #palliativecare at #21OPCC. Following are ten key quotes for an overview of the second full day of presentations.
"When the doctor has time to sit and listen, this has a huge impact on the patient" - Dr Diana Ferreira @diana_mbhf - great insight from the patients' perspective as a cancer patient #21OPCC
"Death is not linear" - Dr Katrin Gerber @NAgeingRI #21OPCC
Read 11 tweets
9 Sep
I will now be tweeting from the ''Collaboration and Integration session, chaired by Camilla Rowland #21OPCC
First presenter in this session is Judy Hollingworth talking about 'Palliative care practitioners and community advocates collaborate in a disadvantaged rural region' #21OPCC
After a lovely acknowledgement to country, Judy begins her story about collaboration and causation #21OPCC
Read 76 tweets
9 Sep
Chaired by Dr Will Cairns OAM, introduces some of the early discussions about #palliativecare - identified key issues - continuity of care, caring for new patients with new conditions, caring for #COVID19 patients and also #palliativecare colleagues #21OPCC
Communication and international collaboration vital for management of #palliativecare during pandemic #21OPCC
Vital for #palliativecare providers to document their experiences of #COVID19 #21OPCC
Read 48 tweets
9 Sep
Welcome and acknowledgement to country by @didarmody
I acknowledge I am tweeting from Kaurna country and pay my respects to Elders past and present #21OPCC
.@didarmody reminds us to have a look at the art submitted for the art competition #21OPCC
International panel coming up! Incl #palliativecare experts @rachelcogs, Christian Ntizimira @ntizimira, Dr Katherine Pettus @kpettus, Dr Malama Tafuna’l from University of Otago, A/Prof Ghauri Aggarwal, and A/Prof @OdetteSpruyt #21OPCC
Read 47 tweets
8 Sep
A great day of presentations today at #21OPCC
If you missed any sessions, here are ten key quotes which give a brief overview of the day.
"Death is a social justice issue" - @NaheedD
#equityequityequity
"It's really hard to give palliative care {to people experiencing homelessness} if you're not advocating for housing" - also @NaheedD #21OPCC
"The most important thing to get right is how you finance your health system" - @yates_rob on Universal Healthcare Coverage reform #21OPCC
Read 10 tweets

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