June 11th 2019

Questions on medicines, procedures and practice from hospice staff 1. Can we crush the patient’s cardiac medication to go via her PEG? Each medication needs to be considered individually as there are specific issues with certain preparations which might not be predicted. Most immediate-release film-coated tablets may be crushed and…

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June 11th 2019

Pain in the mouth is a distressing problem and affects so many essential activities. It can have many causes and good mouthcare is of enormous benefit to all patients, particularly towards the end of life. NICE guidelines (NG48) and quality standards (QS151) are in place for oral health for adults…

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June 11th 2019

The registration and naming process for drugs: When new drugs come onto the market, they must be licensed by the Medicines and Healthcare Regulatory Authority (MHRA) and registered with a trade name. Details of most UK medicines and their registration is listed with their Summary of Product Characteristics on the…

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June 11th 2019

Fluconazole is a triazole antifungal agent which came into use in the late 1980s. It has a different chemical structure to its predecessor, ketoconazole, and is safer systemically. It is licensed for the treatment of topical fungal infections in the mouth, skin and genitals and for invasive, systemic fungal infections…

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conceptual image of nerve firing

February 11th 2019

This article is largely inspired by a presentation given by Dr Chris Kane, consultant in palliative medicine at Sue Ryder Hospice and the NHS Trust in Leeds, at the The Association of Supportive and Palliative Care Pharmacy annual conference in November 2018. It offered a thought-provoking view on a difficult…

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February 11th 2019

MHRA warning: The MHRA has distributed a warning about the risk to patients who use emollients and the potential harm caused by their capacity to increase the severity of burns in case of fire. We have long been aware that paraffin-based products present an additional risk so we know not…

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February 11th 2019

Questions on medicines, procedures and practice from hospice staff: 1. Is it ok to put a Tegaderm over a patch if it keeps falling off? Patches not sticking is a problem which can be caused by patient factors – oily or sweaty skin – and product factors – some seem not to adhere…

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Person in seminar

February 11th 2019

Ashtons provides a wide range of training courses, including e-learning and clinical training seminars. You can now choose from seven clinical training seminars including: Medicines management, Anaphylaxis, Diabetes and insulin, Drug interactions, Safer medicines administration, Controlled Drugs, Patient group directions. We have also added a smaller training course on cannabis…

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February 8th 2019

Much of the content of this article is taken from a talk given by Dr Paul Farquhar-Smith (Consultant in Pain Management and Anaesthetics, The Royal Marsden NHS Foundation Trust) at the ASPCP annual conference in November 2018. Cannabis has been used as pain relief in many ancient cultures including China…

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