Primary Palliative Care Research group: Usher Institute, University of Edinburgh. Palliative and anticipatory care research in primary care.

Edinburgh, UK
Joined May 2010
What evidence is needed for better end of life experiences? What questions should research address? Our blog is now live - highlighting what happened since 2015 with the @PeolcPSP top 10 and our new project to refresh the research priorities #peolcpsp. blogs.bmj.com/spcare/2023/09…
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Interested in #ACP (care planning) in Scotland? Our project 4ACP ed.ac.uk/usher/primary-palli… is looking for a couple more primary care practices to test AnticiPal. (in GGC, Lothian, Highland, Forth Valley). Give us a shout if this might be you. #palliativecare
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Useful contribution to the issue of operationalising palliative care for people living in rural communities with issues around how specialist and primary palliative care can work together.
The key elements which signal improved care outcomes are: care coordination; care planning; digital health; and using methods to prepare, inform and motivate patients and families. #hpm #hapc buff.ly/3QuGhcG
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This is emblematic of the fact that planning needs to be a constant dialogue. Absolutely central to implementing primary palliative care.
Fluctuating decision making about aging-in-place/long term care planning among older adults. #geriatrics agsjournals.onlinelibrary.wi…
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Fluctuating decision making about aging-in-place/long term care planning among older adults. #geriatrics agsjournals.onlinelibrary.wi…
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Our contribution Palliative Care Research RCT - Ethnography - Systematic Review
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Eurostar departures area. Halfway to #EAPC2023 – at London, England
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No tweeting from me (@drpoco) yesterday due to a busy clinical day. A significant part of my role as a GP is offering patients and their loved ones the opportunity to plan for their future care. We call this Advance Care Planning (ACP).
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Continuing my (@drpoco) PELiCam takeover, let's talk about primary palliative care... Did you know that most people in the UK die at home or in a care home? GPs provide much of this care, along with Community Nurses.
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Delighted to be at #pcc2023
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This is a really clear and concise explanation of the fundamentally different roles of primary and secondary care. Massively important in palliative care because of the skill primary care teams have in tolerating and managing uncertainty.
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More on @mariecurieuk’s campaign to let dying people access their State Pension - and prevent 1 in 4 dying in poverty - here. This really isn’t something that should have to be asked for - we urge the government to listen to campaigners’ voices and act.
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Congratulations on this rigorous work, and all the best getting the SPICT spict.org.uk into clinical practice and GP training in Germany? @aieye @DanMundayNG @MetteNeergaard @kirstyedinpall @taniaxpastrana @EAPCvzw @TheSPICT @PPCRG @
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There is a massive, and difficult, tension between "getting on with life" as best as possible while being aware that death and dying is present in your life. Most seem to manage this through minimising the amount of time thinking about death and dying while not denying it. 5/6
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That all said, there are many other factors at play and massive issues around loneliness, depression/low mood, poverty, anxiety and perception of available help. Dying, like living, is unequal and magnifies that inequality in multiple cruel and demeaning ways. 6/6