Challenging Cases in Palliative Care

Dr Edmonds has been a consultant at King's College Hospital NHS Foundation Trust since 1997. As honorary senior lecturer at King's College London she was heavily involved in development of the palliative care component of the undergraduate medical curriculum and examinations. She has been a training programme director for London, overseeing the delivery of postgraduate medical training and is currently the chair of the national Specialist Advisory Committee for Palliative Medicine. Dr Gillon has been a consultant in Palliative Medicine since 2015; chairs the Association of Palliative Medicine Education and Training Committee; is the Palliative Care education lead for the trust and is an active member of the regional Specialty Training Committee. She is regularly involved in local and national research projects and quality improvement initiatives. Dr Miller qualified from University College Cork, Ireland in 1988. Mary trained and worked in palliative medicine in Ireland, Sweden and the UK and has been a consultant in palliative medicine in Oxford since 1998. Mary has a strong interest in education; completing a Diploma in Learning and Teaching at Oxford University 2005, was Training Programme Director and Regional Specialty Advisor (2002 - 2008) and has led the Oxford Advanced Courses in Pain and Symptom Management since 2005. Mary is an elected member of the Education Committee of the Association of Palliative Medicine and joint lead of the postgraduate education special interest forum. Since the inception of OxCERPC in 2017, Mary and the team are focusing on building an exciting portfolio of courses, building research readiness and reaching out to practitioners across the globe. Dr Hawkins has been a Consultant in Palliative Medicine since 2020. She has previously completed a number of educational research projects alongside an MSc in Medical Education. She has experience of qualitative research studies and has undertaken a systematic review. She is currently a member of the Association of Palliative Medicine Education and Training Committee. Dr Yardley is a clinical academic interested in how patients, families, carers, and healthcare professionals do the work of frontline day-to-day healthcare and make sense of their experiences; hospital-community and specialist-generalist interfaces in palliative care; and patient transitions between hospital and community care, including palliative care in Emergency Departments and Acute Medical Units. Her research seeks to understand and improve human-dependent healthcare such as the impact therapeutic and professional collegiate relationships have on current and future care. Dr Felicity Dewhurst is a Consultant in Palliative Medicine at St Oswald's Hospice and an NIHR Advanced Fellow and Senior Clinical Lecturer in the Population Health Sciences Institute at Newcastle University. Following her Dunhill doctoral fellowship, she lobbied for the creation of the first NIHR Academic Clinical Lectureship in Palliative Medicine in Newcastle, and subsequently successfully applied for the first NIHR Advanced Fellowship in Palliative Medicine nationally (January 2024-6.25 years). Felicity has a Master's in Health Professions Education and is on the education committee of the Association of Palliative Medicine (APM) and the organising committee for the Palliative Care Congress (PCC). She is passionate about trying to improve care through research, education and service modification.

1. Pain Management
1: Anna Schuberth and Matt Mulvey: Cancer-related bone pain
2: Rebecca Gemmell and Craig Montgomery: Cancer-related neuropathic pain
3: Lucy Hetherington and Alison Mitchell: Interventional pain
4: Lucy Hetherington and Chris Farnham: Pain in people with drug dependence
5: Lauri Simkiss and Iain Jones: Chronic non-cancer pain
2. Management of symptoms in advanced illness
6: Natasha Lovell and Sabrina Bajwah: Breathlessness
7: Holly McGuigan and Anna Sutherland: Nausea, vomiting and hiccups
8: Lucy Ison and Barry Laird and Richard Skipworth: Cancer cachexia
9: Sarah Webster and Emily Rea and Emma Husbands: Palliative bowel obstruction
10: Rose O'duffy and Maggie Presswood: Pruritis
11: Grace Rowley and Phil Lodge: Mouth care
12: Anna Bradley and Jason Boland: Constipation
13: Rob McConnell, Michael Connolly and Leona Butterly: Diarrhoea
3. Management of the dying patient
14: Simon Etkind and Paddy Stone: Clinical uncertainty and prognostication
15: Sarah Longwell and Lucy Wyld: De-escalation from ITU
16: Alice Copley and Sarah Yardley: Community patient transferred into ED/AMU - rapid assessment and decision-making
17: Luke Nathaniel Hatton and Melinda Presland: Prescribing review
18: Rosanna Hill and Adam Hurlow: Co-ordination and transfer of care
19: Shaun Qureshi, Philippa Guppy, Georgina Osborne and Rasha Al-Qurainy: Giving remote advice to families and other professional providers
20: Tammy Oxley and Katherine Malia: What to expect with death at home
21: Steph Hicks and Ben Bowers: Individualised end of life care plans
4. Interface between palliative care and mental health
22: Felicity Wood and Annabel Price: Depression in the context of life-limiting illness
23: Manraj Bhamra and Khalida Ismail: Hoarding
24: Kitty Jackson and Felicity Wood: Delirium
25: Kirsty Tolmie and Karen Harrison Dening: Dementia
26: Jamie Richardson and Valerie Potter: Learning disabilities
27: Dan Hughes and Maggie Bisset: Serious mental health and the palliative care patient, including patients under section
5. Challenging physiology/physical conditions
28: Steph Lister Flynn and Emma Murphy: Symptom management in organ failure (renal failure)
29: Constantina Pitsillides and Lou Wiblin: Rigidity
30: Kirsty Douglas and Rachel Burman: Sialorrhoea
31: Felicity Dewhurst and Caroline Nicholson: Frailty/multi-morbidity
32: Jaspal Mann and Alastair Lumb: Diabetic management at end of life
33: Mairi Finlay, Oliver Jackson and Mark Teo: Palliative management of malignant spinal cord compression (MSCC)
34: Geoff Wells and Jane Neerkin: Seizures
6. Personalised palliative care
35: Rebecca Tiberini and Jon Martin: Care planning and goal setting
36: Georgina Osborne and Bee Wee: Advance care planning
37: Athul Manuel and Sunitha Daniel: Pandemics and disaster response
38: Sarah Maan, Alice Gray and Andrew Goodhead: Spiritual care
39: Max Charles and Jonathan Koffman: Cultural care
40: Lara Datta-Paulin, Mark Warren and Richard Berman: Supportive care/survivorship
41: Toni Mortimer and Caroline Shulman: Specific challenges: homelessness
42: Gurpreet Gupta and Joanna Elverson: Transition from children's to adult palliative care
43: Joe Sawyer and Libby Sallnow: Developing compassionate communities
44: Charlotte Chamberlain and Lucy Selman: Bereavement
7. Legal considerations
45: Becky Payne and Sam Lund: A desire for hastened death
46: Gemma Lewis-Williams and Mark Taubert: Treatment escalation plans and CPR decisions
47: Simeon Senders Galloway and Anna Gorringe: Withdrawal of treatment
48: Marie Claire Rooney and Jo Laddie: Autonomy in children