Kerie Exall

@Debenhams I am trying to return an item. My order number and email is not recognised so I can’t access the returns portal. What can I do? Thank you

"If you came into nursing because you wanted to make a difference... this is absolutely the place for you." We're recruiting for Registered General Nurses at our #Ashford hospice. If you have relevant skills + want to join our caring team, apply today: ow.ly/LSvs50WABVL 💙

@charliersmith1 Our dog who came second in the local waggiest tail competition. He’s very proud of his medal. Take care x

This feels very hard to write, but earlier I tried to end my life. I’m currently in hospital, awaiting assessment, not sure what the future holds. If anyone has any pet pics (or other cute pics), I’d really appreciate the distraction ❤️

@Thehullboy1 What an appalling post. Ignore - you have many people wishing you well who consider you to be a true inspiration. You didn’t just talk about it - you’re doing it and that takes massive guts.

Day 34 of running the length of the UK. What a message my mum has just seen on her timeline. There’s hate which recently I’ve just ignored and there’s whatever this is. 38 miles to cover in the next 2 days until the border Scotland. Other news is we are staying up x

@imnoloon Go to the cinema. You can’t talk to anyone when the films on anyway.

i want advice from people that aren’t afraid to go out by themselves like i want to start going places alone like cafes and bookstores and whatever but anxiety says no. please tell me how you do it if you do

Hypoactive delirium—characterized by withdrawal, lethargy, and decreased responsiveness—is missed up to 75% of the time. Why? Because these patients don't "cause trouble." They lie quietly, often dismissed as "just tired" or "a bit down." These are the patients we're failing most. Let's change that. #HypoactiveDelirium #PatientSafety image: freepik

@lucyhalpin1 @alisonleary1 She would be able to be a PS but probably required to attend a short update session to be listed as a PA. Check with her local uni that places the students to be sure.

My mum after nursing for 40yrs has been told that her ENB997/998 is not sufficient to meet the requirements of being a mentor to student nurses… is that right? I looked at guidelines and I don’t think that advice is correct… can anyone help? @alisonleary1

Are you a registered nurse with managerial leadership experience, looking to make a meaningful difference? We're recruiting for a Senior Ward Sister at our #Ashford hospice to inspire + motivate our nursing and healthcare teams. Find out more and apply: ow.ly/9ZrO50UB2SB 💙

@timricketts_ Completely agree. We have a duty to ensure the person is as safe as possible when they leave.

I’m not sure who needs to hear this, but denying patients discharge paperwork and medications because they’re self discharging is cruel and harmful. They might be acting against advice, but we should still make their discharge as safe as possible.

Not sure how to approach the topic of death with children? Our tips offer age-appropriate ways to navigate these tough conversations. 💬🧡 We're supporting #ChildrensGriefAwarenessWeek to raise awareness of the bereavement experiences of young people. #content-menu-818" target="_blank" rel="nofollow noopener">hospiceuk.org/information-an…

Join us @alex_centre, #Faversham for cake, coffee, and a relaxed, open chat about death - a subject we all too often avoid in our everyday conversations. This is a free event and all are welcome; places are limited, so please book: pilgrimshospices.org/dc-faversham ☕ 🍰 #PilgrimsHospices

@Tr4pzzz Marg

I JUST GOT A NEW PUPPY!!!!!! Most liked reply is her name

@alisonleary1 Value experience. You can now be considered a ‘specialist nurse’ with little or no experience in that particular field and then we wonder why such roles are being down graded.

In September 2024, the #PilgrimsHospices therapy team will conquer their fears + soar through the skies in a daring tandem skydive. They're raising vital funds for our charity, enabling us to keep providing compassionate end-of-life care. Read more: ow.ly/XaeQ50SUylY 🪂 💙

@beckyboopta Spa day being massaged and pampered

@StN_Freda The other issue IMO is there are also experienced nurses changing specialties/ areas of work / wanting to down grade as close to retirement etc so NQNs are up against those who come with all the experiences and skills already acquired. It’s tough for a NQN going against that.

Being a Mum and mature student, I chose nursing over SW or OT as I needed a strong job market. After acing my 1st interview with positive feedback, I was told I lacked experience in the specialty, despite 3 of my 8 placements being in that area. The system feels broken for NQNs.

@Existential_Doc And I’d echo the above sentiment as a nurse working in the specialty. It’s dynamic, rewarding and intellectually stimulating. So much to learn and such a difference can be made to people’s symptoms.

Palliative medicine not just death and dying - examples from practice: Anti-depressant cross titration, ketamine intravenous infusions, tranexamic acid infusion, methadone cross titration, central post stroke pain management, sativex for spasticity, interventional cancer pain techniques, hypoadrenalism, chronic non-cancer pain, dystonia, MND and Parkinson’s symptom control, rotigotine patch conversions, needle phobia, octreotide infusion conversion to depot lanreotide, CBD drug interactions, diabetic control on steroids, chemotherapy induced peripheral neuropathy, clondine bridging for pain crisis, prescribing in substance misuse, paracentesis, scut betablocker for symptomatic SVT, delirium, managing sweating or fever secondary to cancers, home oxygen ordering, managing itch/dysaesthesia, IV bisphosphonates, acupuncture, transmucosal drug administration, spinal cord compression management, prophylactic fixation of long bone metastases, vertebroplasty, cordotomy, neuroleptic malignant syndrome, syringe driver compatibility, dysgeusia resolved with zinc, creon shortages…… that’s just some of the medical side… the care and close interactions with patients are the really enjoyable parts. Palliative care as a medical career will keep you up to date and innovative as a doctor if you are in the right setting. Yes we look after people who are dying but being “made palliative” is an escalation in care and attention if truly done well. #careerinpalliativecare #newdoctors

@AlbionCatA @NurseStandard I think most nurses can decide if a patient can have simple OTC remedies without requiring a doctor’s prescription. I know there will always be exceptions but I’m thinking simple things that nurses use regularly that we can assess for.

@NurseStandard The problem is that in order to prescribe you should do advance clinical assessment at level 7, this isn’t appropriate at band 5/ newly qualified. Aim then should be preceptorship and consolidation. Also prescribing isn’t in B5 JD, nor should it be.

Nurses are now expected to be ready to undertake a prescribing course as soon as they graduate and register, in theory. Nursing Standard looks at what’s involved in practice. 'What does ‘prescriber-ready’ mean for nursing students?' rcni.com/nursing-standa…

@claire_eyfs My list included not to come home with a dodgy tattoo or an STI. The rest of it I trusted him to work out himself!!

@PilgrimsHospice Great day. Well organised and a big thank you to all involved in putting the event on

Well done to everyone who took on the #PilgrimsWayChallenge 2024! Thank you to all involved in making the event a huge success, including our wonderful and dedicated volunteers and staff. Photos from the day are currently being processed + will be shared soon. 📸 🥾 🎉 👏 🌳 💙