Merry Christmas

2020 is almost over. Looking back, I think we all wish we had bought shares in Zoom, hand sanitisers and toilet paper!

The pandemic has made some of the most important parts of the care provided for patients and their families very challenging, and our clinical teams have needed to adapt to new ways of working in order to meet our patients’ needs. We are incredibly proud of the Macmillan Unit team, and the lengths they have gone to in order to put what is important to our patients at the heart of their care.

We would like to thank all our staff, volunteers and trustees at the Macmillan Unit, at University Hospitals Dorset and in the community. Thank you for your selfless dedication to those in our community who need your care the most. We would like thank University Hospitals Dorset for working with us in partnership to fund the Macmillan Unit. Their help and support has been invaluable.

We would like to pay tribute to our colleagues at the Grove Hotel. The pandemic forced the permanent closure of our specialist hotel in Bournemouth which was devastating news. We thank our colleagues (our friends) for their hard work over many years, providing wonderful holidays and memories for people with life threatening illnesses. We wish them well for the future.

Looking back over the year, we prefer not to focus on all we have been through that has tested each and every one of us. We will remember 2020 for the random acts of kindness, the people who telephoned us and asked if there was anything they could do to help, those who found new ways of fundraising for us when all our events were cancelled, those who made face masks and scrubs, people who sent in donations to make sure we could carry on providing care, those who delivered food for our Nurses when they didn’t have time to take breaks, and those who delivered gifts for our patients.

Adversity very often brings out the best in people, and this year we have seen numerous fine examples of our community helping those less fortunate. Thanks to you all we are able to continue providing specialist care for our patients and support for their families, at a time when they need it most.

We look to the future, a new year, a vaccine and promises of a return to normality. We look forward to starting the building of our new hospice, a beautiful facility for our patients, visitors, staff and volunteers.

Christmas will be different this year for all of us. Whatever you are doing over the festive period, we hope you are able to spend time with loved ones, make some special memories and have a wonderful time.

Merry Christmas!

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