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

Getting There….

As we get closer to ticking off a third month of lockdown and distancing measures, many of us are adjusting to a very new normal.

If you have seen the “Return of The Mac” news article on our website, you will know that our heroes have returned from their stint at The Royal Bournemouth Hospital, back ‘home’ to the Mac Unit. They were greeted with celebrations, welcome messages and balloons and as you can see from the photo, they were all very happy to be back. However, due to the risks associated with Covid-19, there have been quite a few changes within the hospice. Staff are, of course, all wearing the appropriate PPE and adhering to the social distancing guidelines. We have also now split the wards in order to isolate patients with Coronavirus and the rest of the Unit is being utilised in quite different ways to keep everyone as safe as possible with regard to infection control. Unfortunately, due to this temporary reorganisation and government guidelines, we are currently unable to re-open our Day Centre. However, the team have been keeping in contact with patients who normally use the Day Centre with telephone calls and fun quizzes. Despite all of these changes and challenges, the Mac staff remain as hard working and upbeat as ever and we are keeping everything crossed that the Day Centre will open again soon and that our fabulous volunteers will be able to return to the Unit and continue with the wonderful work they do, supporting our staff and patients.

As ever, our lovely supporters have continued fundraising and sending us messages and a lot of you have also been taking part in our quiz nights. Sadly, our Barry has closed the door of his fancy dress wardrobe for now, but it was a very entertaining way to spend a Friday evening. Anyone think we should try to persuade Barry to do another? We’re in! Barry….?

Our Capital Appeal Director has been making the most of lockdown too. Lin and her sister Beej have both made the courageous decision to “Brave the Grey” for Macmillan Caring Locally. These two brave ladies cut each other’s hair while broadcasting on Facebook one sunny afternoon and after chopping off the colour, they are planning to dye their greys a striking shade of pink! Have a look at their JustGiving page to see how they’re getting on: www.justgiving.com/fundraising/linda-sharp9

As we start to return to our new normal, we hope that you are all feeling positive and keeping well. We really have missed our volunteers, supporters and friends and do think of you all as we continue through these strange and confusing times. Please stay in touch, especially on our social media pages (@macmillanlocal), and let us know what you have been up to – hopefully we won’t have to wait too much longer to see you all again. Until next time, take care and keep on smiling ?

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