Who we are

Meet the team

My Career Path – Debbie White

 

“I started my career as a newly qualified nurse on an oncology and haematology ward and did bank shifts in a local hospice, this is where my interest in Palliative Care started.

I wanted to develop these skills and moved into the community where I continued to grow and learnt that palliative care not only involves managing the condition, but providing psychological, social and spiritual support to ensure the best quality of life for patients and their families.

I was then able to move roles and work as a specialist palliative care nurse within the Macmillan unit community team where we are given a unique opportunity to assist our patients and their families to navigate through this time and hopefully provide all involved the support needed, along with complex symptom management utilising the skills I have as a nurse prescriber.

One of the most rewarding aspects of a career in palliative care is the ability to connect with our patients at the most challenging time of their lives. While we often meet under very difficult circumstances, being present as people move towards the end of life, we get to know our patients and families and have the opportunity to play a role in their lives, whilst managing complex symptoms.

I hope that at the end of the day, no matter what, I have impacted someone’s life for the better.   I am very proud of my nursing profession and see my role as a responsibility we should never take for granted.

It is imperative to have broad shoulders, show your emotions (at times), and more importantly, be real and I don’t take anything for granted.  I strive to be patient, calm, non-judgemental, compassionate, knowledgeable, and understanding. 

I do reflect with my colleagues as they are able to understand. I do cry, I’m human and some things really strike a chord as I can relate to them from personal experiences.

It hasn’t always been easy, times are challenging, but it has and will always be worth it.”

Debbie White

My Career Path – Natalie Booth

“I was a late starter qualifying at 40 and was lucky enough to get a job as a preceptor working for 6 months as a community nurse followed by 6 months at the Macmillan unit. In hindsight this was a great start to my route to specialist palliative care working in the local hospice and closely with the wider multidisciplinary team. I returned to community nursing followed by a secondment for the then fairly new Generalist Community Palliative Care Team looking after patients in their own homes who were in the last 16 weeks of life. It was such a satisfying job being able to care for patients who wanted to remain at home to die and being able to give them consistency in care.

Later I worked as a nursing home manager which gave me the chance to positively influence end of life care at the home and staff education. For the last 6 years I have worked for a Specialist Hospital Palliative Care Team, my first job working in an acute hospital since qualifying. The experiences and skills I have obtained working almost entirely within primary care are invaluable in my current role and show that there are a myriad of different routes into Palliative care and at the risk of sounding trite it is the most satisfying job.”

Natalie Booth

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