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(This is an article published by the History of Anaesthesia Society in 1995. It records the history of the events leading up to the opening of the Macmillan Unit, and the pioneering work of our founder, Dr Ronald Fisher) Dr Ronald Fisher, Anaesthetist and Hospice pioneer by Dr M A Skivington, retired Consultant Anaesthetist, Royal Bournemouth Hospital Dr Ronald Albert Fisher was born on 3rd June 1917 and educated at Heversham School, Cumbria, Downing College Cambridge and the Middlesex Hospital, London, qualifying in 1943. He then became a Surgeon Lieutenant in the Royal Navy, first on convoy duties in the Western Approaches, then in Russian...

https://youtu.be/9Z2FDj-IMSI MND Study Day On November 17th, Jane Martin, MND Nurse Specialist and the MMU MND Team , provided a Dorset Wide Study Day on Motor Neurone Disease at the Marsham Court Hotel, Bournemouth. . The day was attended by 120 health and social care professionals from across Dorset & Hampshire to improve both management & support from diagnosis to end of life for people with MND locally. The day was supported by both MacMillan caring Locally and the East Dorset & New Forest MNDA. Subjects covered diagnosis and symptoms, swallowing difficulties, respiratory support , environmental controls developments, psychological care and the difficult...

Lisa Wetton, Dylan Wetton, and QEDG Management hosted a memorial concert in memory of John Wetton (King Crimson, Family, Roxy Music, Uriah Heep, Wishbone Ash, UK, Asia) on August 3rd, 2023 at Trading Boundaries in East Sussex.   Although this was a private event the Wetton Family were delighted to invite John’s loyal fans to be part of this very special evening by enjoying the concert via a live stream. The event saw friends and family of the late lead singer and guitarist gather together to celebrate the life of this extraordinary musician.  An all-star line-up of legends, who were friends and collaborators of Wetton’s, performed songs from throughout his...

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A very warm welcome to 2022 from everyone at Macmillan Caring Locally! We hope you had a relaxing and enjoyable festive season and the New Year finds you well. You may have noticed that our blog page has been a little quiet over the last few months but there has been plenty going on and this post will give you all the detail you need to catch up with recent activity and also get an insight into our plans for the coming year. As ever, you wonderful people have continued to support our hospice team with some fabulous fundraising activities and for...

As many of us are taking stock of the last 14 months and looking to brighter days ahead, the team at the Mac Unit are looking to the next few months and making tentative plans around events and activities with a real hope in our hearts that we will be able to see all of you again soon. It’s been such a difficult time and many are understandably concerned about returning to social contact and larger groups. We would be so interested to hear from you, our valued supporters, about how you feel and if you are keen to start taking...

Welcome to the latest blog post, bringing you up to date with news from the Mac Unit. We hope you are keeping well, all had a fabulous, chocolatey Easter break and are managing to enjoy some of the sunshine! It is incredible to think that it was over a year ago now that Boris Johnson made that first public announcement asking us to stay at home. It seemed almost surreal in those early days of lockdown but after twelve months, so much has happened and a lot has changed. On 23rd March, the nation came together to remember those we have...

Well, hello sunshine, what a welcome sight you are! After the last few months of lockdown and cold, wet weather, we really are feeling a little lighter and brighter in ourselves now the children are back with their school mates and the first stages of lifting restrictions has begun. Like many others, here at the Mac Unit we are so excited to start returning to some kind of normality and, more than anything, to indulge in that wonderful sense of community again. Meanwhile, we have thoroughly enjoyed seeing all of your amazing pieces of artwork coming in for the 50/50 project...

What a joy it is to see those first few daffodils pushing through the frosty ground in an attempt to declare that spring is coming. We may well have put on a few more jumpers recently and perhaps we’re even feeling that lockdown has its upside when it’s minus five degrees outside but there are definitely seeds of hope for the coming weeks. The rollout of the first Covid-19 vaccines appears to be going well, taking us one step closer to getting some normality back in our lives. Most of our team have had their first vaccine now and it is...

List of pharmacies 

 Pharmacy name and address

Phone Number

100 hour pharmacy

 Locality

Asda Pharmacy

St Pauls Road, Bournemouth,BH8 8DL

01202 298900

Yes

Bournemouth East

Castle Lane Pharmacy
482 Castle Lane West Bournemouth, BH8 9UD

01202 772110

Yes

Bournemouth West

Ferndown Pharmacy
487 Ringwood Road, Ferndown, BH22 9AG

01202 892666

Yes

East Dorset

Tesco Extra Pharmacy
Yarrow Road, Mannings Heath Poole, BH12 4NX

01202 457447 or 01202 367447

Yes

Parkstone

Asda Pharmacy
West Quay Road, Poole, BH15 1JQ

01202 207000

Yes

Poole Central

Equipment – www.redcross.org.uk Is useful for wheelchairs and other equipment

Guide for people nearing end stage of life : https://intranet.rbch.nhs.uk/uploads/palliative/documents/What-to-Expect.pdf

Brief Drugs List for GPs

 

Pain/breathlessness:

Morphine sulphate 2.5-5mg SC PRN (10mg in 1ml injection)

(alternative if taking PO or eGFR<30 – Oxycodone 1 – 2.5mg SC PRN (10mg in 1ml injection))

[Please take background opioid into account when prescribing doses for anticipatories]

Anxiety/distress:

Midazolam 2.5-5mg SC PRN (10mg in 2ml injection)

Secretions:

Glycopyrronium 200mcg SC PRN (600mcg in 3ml injection)

(alternative for secretions: Hyoscine Butylbromide 20mg/ml injection)

Nausea :

Levomepromazine 6.25mg SC PRN (25mg in 1ml injection)

(alternative for nausea: Haloperidol 1.5mg SC PRN (5mg in 1ml injection)

Water for injection

Dexamethasone 3.3mg SC OD-BD (equivalent to 4mg PO) if risk of steroid withdrawal/Addisons during terminal phase.

Day/Time Example Timetable
Monday – AM

9am MMU Ward Hand over; 9:30am Tour of MMU

10m Consultant Ward Round, MMU

Monday – PM

12pm Ward Nurses – syringe driver administration (treatment room)

1:30 Nursing Handover – MMU (ward office)

MMU – Admission Assessment(s) with ward doctor

Tuesday – AM

9am Ward Hand over

9:20am Referrals Meeting on MMU

10am Community visiting with Specialist Nurse

Tuesday – PM

12:30 Journal Club – MMU (doctors office)

2pm Introduction to Patient and Family Support Team

3pm Introduction to Welfare and benefits Advisor

Wednesday – AM

9am Ward Hand over

9:20am Referrals Meeting on MMU

10am Consultant ward round – MMU

Wednesday – PM

2pm Doctor/Nurse Home Visit with Specialty Doctor

Thursday – AM

9:15am Multi-Disciplinary Team Meeting on MMU

Thursday – PM

2pm Introduction to Palliative Rehabilitation with Physiotherapist

3pm Introduction to Complex Discharge Planning in terminal illness

Friday – AM

Hospital Palliative Care Team Ward Visits

Friday – PM

2pm Introduction to Personalised Care Plan for the Last Days of Life with End of Life Care Nurse

4pm Debrief / sign off