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A Very Festive Thank You!

As 2020 draws to a close, we have been reflecting on this somewhat extraordinary year. It would be fair to say it has been challenging, arduous and sometimes a little depressing to be honest. However, we are also feeling extremely grateful for all that we have learned and achieved this year and most of all, for all the wonderful people that make the Mac Unit what it is – an incredibly special place of which we are all so very proud.

Our nurses, doctors, staff and volunteers have shown unwavering bravery and selflessness in the face of coronavirus with the care and comfort of our patients remaining, as always, their number one priority. The whole team have worked so hard adjusting working practices and finding new ways to communicate and continue providing the necessary services to support our patients and their families throughout the pandemic – they truly are superheroes!

We have also been blown away by our amazing supporters this year. Despite all the cancelled events, social distancing and restrictions brought on by Covid-19, you have all shown incredible determination to keep moving, selling, creating and bringing people together (albeit virtually) all in the name of fundraising and we could not be more grateful.

As you will have read, we have sadly had to cancel this year’s White Christmas Dip but lots of you are dipping already or planning to in the days leading up to Christmas so thank you… but please be careful and do heed the advice of the White Christmas Dip team on social media! Even if you would rather stay warm at home, you can still support our Christmas Appeal. We hope you’ve seen the appeal online or in some of the local publications that have landed on your doorstep? If not, please do pop onto our website, have a read and share the link with your family and friends – help us to make a last wish come true this Christmas.

As the glimmering light of 2021 approaches, shining with a vaccine and lots of hope for a more sociable year, we are feeling positive for the next 12 months. The fundraising team are busy making plans for what we hope to achieve with or without Covid-19 restrictions and we are very much looking forward to seeing what amazing challenges and fundraising ideas you fabulous lot are going to surprise us with too.

Which only leaves us to say thank you. A huge, genuine and heartfelt thank you. You have carried us through this extraordinary year with your support – we couldn’t have done it without you. Have a wonderful Christmas and a very happy New Year!

Until next time….

 

Anyone that wishes to make a donation can do so on our website at www.macmillanlocal.org/make-a-donation and if you haven’t already signed up to our newsletter, you can do so at www.macmillanlocal.org/subscribe. You can also read our appeal for support through the Coronavirus at www.macmillanlocal.org/wp-content/uploads/2020/03/Covid-appeal-260320.pdf

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