Elayne Harris💙

606 posts

Elayne Harris💙

Elayne Harris💙

@HarrisElayne

Palliative Care Pharmacist. All views are my own.

เข้าร่วม Eylül 2014
327 กำลังติดตาม96 ผู้ติดตาม
Elayne Harris💙 รีทวีตแล้ว
Tony Duffy
Tony Duffy@Existential_Doc·
Clonidine in palliative care- A thread 🧵 Clonidine is not a new drug. Developed in the 1960’s it has been used to manage hypertension, hot flashes, migraine and even ADHD. Use perioperatively and in ITU for pain relief has been fairly common inc via spinal and epidural route
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Elayne Harris💙 รีทวีตแล้ว
Tony Duffy
Tony Duffy@Existential_Doc·
New therapeutic options don’t come along often in palliative care. When they do there is often understandable hesitancy to introduce these into practice. Clonidine is a good example of this so I wanted to explore more with this thread 🧵 👇
Tony Duffy@Existential_Doc

Clonidine in palliative care- A thread 🧵 Clonidine is not a new drug. Developed in the 1960’s it has been used to manage hypertension, hot flashes, migraine and even ADHD. Use perioperatively and in ITU for pain relief has been fairly common inc via spinal and epidural route

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Elayne Harris💙 รีทวีตแล้ว
Tony Duffy
Tony Duffy@Existential_Doc·
Hot flashes in palliative care ⚡️ A Thread 🧵 Hot flashes with night sweats are common in cancers where treatment leads to a deficiency of oestrogen Yes lack of oestrogen is the root cause for both men and women
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Elayne Harris💙 รีทวีตแล้ว
Tony Duffy
Tony Duffy@Existential_Doc·
My blog this month on the BMJ Supportive and palliative care forum Quite a different topic for me but a really important one I believe “Faecal vomiting- A case of frequently mentioned but rarely seen” Please have a read and share your thoughts 🙏 blogs.bmj.com/spcare/2025/04…
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Elayne Harris💙 รีทวีตแล้ว
Tony Duffy
Tony Duffy@Existential_Doc·
Opioid switching - A thread 🧵 Not all opioids are the same- that’s where we start this thread. Morphine is the archetypal opioid and best known but there are a multitude of other options whose use and availability varies across the globe.
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Tony Duffy
Tony Duffy@Existential_Doc·
I had experience of this earlier in the week when our baby daughter was born at St John’s. A moment I will cherish as a dad forever, what a brilliant person centred idea 👏should be made available everywhere
NHS Lothian@NHS_Lothian

Did you miss our midwives on STV News last night❓ You can rewatch the incredible news piece on Cozy Cuddle Scrubs (by Stacey)™, designed to help birth partners provide immediate skin-to-skin contact with their newborns 💕 Watch it here: ow.ly/ja9n50UlC0i

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Siobhán Simpson
Siobhán Simpson@SiobhanSimp15·
Not entirely sure how I pulled it off, but delighted to share that I’m now a credentialed RPS Core Advanced Pharmacist & wanted to thank everyone who supported me through it! I am truly grateful for all the SLEs & emotional support 🙏@NHSGGCPharmacy @Canniesburn 1/2
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Tony Duffy
Tony Duffy@Existential_Doc·
A Halloween themed announcement in keeping with our favourite time of year. Exciting times ahead 😊
Tony Duffy tweet media
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Elayne Harris💙 รีทวีตแล้ว
BladeoftheSun
BladeoftheSun@BladeoftheS·
Nadhim Zahawi has agreed to pay the £3,000,000 tax bill he lied about and hid from HMRC. He should be sent to jail for fraud. RT if you want to see him in jail.
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Elayne Harris💙 รีทวีตแล้ว
Paul Howard
Paul Howard@Paul_Howard_IoW·
Domperidone, QT interval & prucalopride: a🧵 Prucalopride is now off patent and its price beginning to fall At the same time, evidence of a gastroprokinetic effect suggests it acts throughout GI tract, not just on the bowel... cureus.com/articles/21767… cureus.com/articles/55806…
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Tony Duffy
Tony Duffy@Existential_Doc·
@HarrisElayne @revealshadow @griffiths_gill That’s good to know Elaine, I don’t understand it from a car mechanic background. One pushes (drives) plunger the others draw the fluid through using downstream negative pressure. I wonder if patients/families have different reactions to the names
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Tony Duffy
Tony Duffy@Existential_Doc·
Time to revive this thread 🧵 Syringe driver doesn’t = dying Dying does not mean a syringe driver is needed Many of the same medications commonly used just given by a different route
Tony Duffy@Existential_Doc

Syringe drivers: A palliative care thread Let’s cover a topic that can be very emotive and frequently misrepresented Administration of medications via continuous subcutaneous infusion (CSCI) First lets cover some common concerns we may encounter when considering using a CSCI

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Tony Duffy
Tony Duffy@Existential_Doc·
Both used across all sites ive worked in before. I tend to use driver as it makes techincal sense to me. When introducing to people ill talk over how the device works (small fixed movements of the plunger) over each hour and delivers the medication under the skin as opposed to into a vein. Always talk about steady state delay but flexible dosing after that.
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Elayne Harris💙 รีทวีตแล้ว
Dr Steve Taylor
Dr Steve Taylor@DrSteveTaylor·
Rishi Sunak has decided that the £14.9bn of PPE fraud cannot be investigated & has written it all off This is the same amount of money as the entire budget for General Practice & Primary care for a year Imagine writing off 330million consultations, GPs, Nurses etc for a year
Dr Steve Taylor tweet media
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Elayne Harris💙
Elayne Harris💙@HarrisElayne·
@Existential_Doc Couldn't agree more. So many upper GI cases just now it seems. Very complex patients being treated at home
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Tony Duffy
Tony Duffy@Existential_Doc·
It feels like there has been an sustained rise in the need for complex end of life care. Am I imagining that there has been a trend towards Particularly aggressive presentations of cancers esp cholangiocarcinoma, pancreatic, oesophageal, myeloma and rarer lung cancer subtypes? Often in young people.
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Elayne Harris💙 รีทวีตแล้ว
DC_Police Dogs ( Puppy Development Program)
DC_Police Dogs ( Puppy Development Program)@DC_PoliceDogs·
There is a reason why the German Shepherd has been the go to dog for the last 70 years. But I believe Giant Schnauzers like PD Albert & TPD Bert have the qualities to supplement our current breeds the GSD, Malinois and Dutch herder. Great day with the boys and ITV yesterday
DC_Police Dogs ( Puppy Development Program) tweet mediaDC_Police Dogs ( Puppy Development Program) tweet mediaDC_Police Dogs ( Puppy Development Program) tweet mediaDC_Police Dogs ( Puppy Development Program) tweet media
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Elayne Harris💙 รีทวีตแล้ว
Giant Schnauzer Albert
Giant Schnauzer Albert@_GS_Albert·
When Albert met Bert 🐶🐶😊
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Elayne Harris💙 รีทวีตแล้ว
Marina Purkiss
Marina Purkiss@MarinaPurkiss·
Love this from Ben Elton on the BBC… More of this please.
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