Call us: 01202 477 628 | enquiries@macmillanlocal.org |

Daffodils and Vaccines

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 certainly providing a sense of positivity around the hospice.

With spring just around the corner, we are also thinking about the gardens at the Mac Unit and how wonderful it will be when those beautiful flowers bloom again. This spring will be particularly poignant as we remember our gardener, Nigel, who sadly passed away last month. We miss him terribly and will look at our gardens this year with Nigel in our minds, and the new growth as a legacy to him and all his wonderful work at the Unit.

The next few weeks and months will undoubtedly bring further challenges with uncertainty over when lockdown will be eased and indeed, what our next ‘normal’ will look like. However, we have plenty to keep you entertained by staying active, getting creative and testing your minds! Our Lace Up challenge is still active (pun intended) throughout the coming months – you can choose to run, walk, cycle or climb, choose your distance and do it whenever you’re ready. Just set up a JustGiving page, commit to your challenge and get fundraising! Another exciting project we are running is the 50/50 Art Project (www.macmillanlocal.org/extended_events/art-competition-and-auction/). We are looking for budding artists, children and adults, to create a piece of work in any media (paint, pencil, photography, digital, the list is endless) which represents ‘what charity means to you.’ The pieces of art will then be auctioned in March to raise funds for the Mac Unit. Details about Lace Up and the 50/50 Art Project are available on our Facebook page and website.

Many of you have also been joining Barry for his infamous quiz nights over the last twelve months and well, frankly, it’s been a blast! From the odd and quite revolting things Barry has eaten in the name of fundraising, his amazing fancy dress and acting skills to Julie’s Law, the conveyor belt and so many moments to create an outtakes video, our Friday quizzes have been quite a hit. Sadly, the next quiz is to be the last. Barry will take to the stage (Facebook Live) for the final time on Friday 19th February for the last MCL Virtual Quiz. Grab a glass of something and log in – you won’t want to miss out!!

As always, your ongoing support means so much to everyone at the Mac Unit. Please keep your messages coming in, your crazy fundraising activities going and most importantly, look after yourselves. Thanks for always being there.

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