About this event

  • Date and time Tue 9 Jan 2024 from 9:00am to 4 Jun 2024 at 5:00pm
  • Location Royal Society of Medicine
  • Organised by Palliative Care

This 6 day in-person course is spread over 6 sessions with the aim of providing a robust grounding in all aspects of pharmacology and therapeutics in palliative medicine. The course material is evidence based where possible so that participants become acquainted with the body of literature that relates to practice in this field. Each of the sessions will consist of incredibly valuable content. 

Days 1, 2 and 3 of the course are framed around the World Health Organisation analgesic ladder and will enable attendees to enhance their knowledge. Additionally, participants will gain an in depth understanding on pain physiology and the pharmacology of step I, II and III drugs and co-analgesics, current evidence base, and application in clinical practice. The programme is supplemented by talks on specialist topics from experts including management of seizures, bone metastases, update on immunotherapy and malignant spinal cord compression.

Days 4, 5 and 6 are broadly themed. The topic areas which we will explore to understand evidence based guidance and management of nausea and vomiting, constipation and malignant bowel obstruction, pharmacological management of anxiety, depression and terminal agitation. Additionally, included over the 3 days are specialist topics from expert speakers such as prescribing in patients with liver failure, renal impairment, recognition and management of delirium.

 

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Agenda

View the programme - Day 1 (09.01.2024)

Welcome and introduction

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine and Dr Antonia Field-Smith, Consultant in Palliative Medicine, West Middlesex University Hospital

Session 1

Palliative care emergencies

Dr Antonia Field-Smith

Panel discussion

Dr Clare Smith and Dr Antonia Field-Smith

Comfort break

Session 2

WHO ladder - Evidence base and guidelines

Dr Ulka Karandikar, Locum Consultant, St Christopher's Hospice

Pharmacology I

Dr Melinda Presland, Consultant Pharmacist, Oxford University Hospitals NHS Foundation Trust

Panel discussion

Dr Ulka Karandikar and Dr Melinda Presland

Lunch break

Session 3

Pharmacology II - Step I drugs and step II opioids

Dr Clare Smith and Dr Melinda Presland

Immunotherapy - What you need to know

Dr Joanna Evans, Consultant Medical Oncologist, Imperial College Healthcare NHS Trust and Honorary Senior Clinical Lecturer, Imperial College London

Panel discussion

Dr Clare Smith and Dr Melinda Presland

Comfort break

Session 4

Drugs off license, off label, controlled drugs (CDs) and driving - New guidance from DVLA

Dr Melinda Presland

Panel discussion

Dr Melinda Presland, Dr Clare Smith and Dr Antonia Field-Smith

Closing remarks
Close of meeting
View the programme - Day 2 (06.02.2024)

Registration, tea and coffee
Welcome and introduction

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine, Dr Sarah Frearson, Consultant in Palliative Medicine, Clinical lead for Palliative Medicine, Imperial College Healthcare NHS Foundation Trust and Dr Antonia Field-Smith, Consultant in Palliative Medicine, Epsom and St Helier NHS Foundation Trust

Session 1

Day 1 round up and NSAID worksheet

Dr Clare Smith

Step III opioids and panel discussion

Dr Clare Smith and Dr Sarah Frearson

Tea and coffee break

Session 2

Methadone

Dr Clare Smith

Opioid conversion

Ms Maria Ivanova and Dr Rachel Craig, Consultant in Palliative Care, Royal Free Hospital 

Panel discussion

Dr Clare Smith, Ms Maria Ivanova and Dr Rachel Craig

Lunch

Session 3

Summary session on opioids

Dr Clare Smith

Panel discussion

Dr Clare Smith

Tea and coffee break

Session 4

Update on management of bone metastasis

Dr Lucy Ison, Consultant in Palliative Medicine, Imperial College Healthcare NHS Trust

Management of seizures in brain tumours and at the end of life

Dr Jeremy Rees and Dr Jon Martin

Panel discussion
Close of meeting
View the programme - Day 3 (05.03.2024)

Registration, tea and coffee
Welcome and introduction

Dr Ruth Miles, Consultant in Palliative Medicine, Greenwich and Bexley Community Hospice

Session 1

Pain physiology and tapentadol

Professor C (Kate) Urch, Chief Medical Officer and Professor of Palliative Medicine, University Hospitals Sussex NHS Foundation Trust

Tea and coffee break
Pharmacology III

Mrs Melinda Presland, Consultant Pharmacist, Oxford University Hospitals NHS Foundation Trust

Prescribing in patient with renal impairment

Dr Sarah Frearson, Consultant in Palliative Medicine, Imperial College Healthcare NHS Trust

Neuropathic pain (NP) case study

Dr Angela Halley, Consultant in Palliative Medicine, The Royal Marsden NHS Foundation Trust

Lunch

Session 2

Treating neuropathic pain: the evidence base and panel discussion

Dr Ruth Miles

Clinical use of ketamine

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine

Tea and coffee break
Malignant spinal cord compression with panel discussion

Dr Ben O'Leary

Close of meeting
View the programme - Day 4 (25.04.2024)

Registration, tea and coffee
Welcome and introduction

Prescribing in patients with liver impairment

Dr Polly Edmonds, Consultant in Palliative Medicine, King’s College Hospital NHS Foundation Trust

Metabolic and endocrine workshop: Managing diabetes at the end of life

Professor Karim Meeran, Professor of Endocrinology, Deputy Director of Medical Education and Lead Clinician for Endocrinology, Imperial College London and Dr Humaira Jamal, Consultant in Palliative Care Medicine, Central London Community Healthcare Trust and Peace Rennie Grove

Tea and coffee break

SIADH/ Na+ imbalance

Professor Karim Meeran

Lunch

Cannabinoids

Dr Sarah Cox, Consultant in Palliative Medicine, Chelsea and Westminster NHS Hospital and President, Association for Palliative Medicine

Steroids

Dr Alexandra Rogers, Consultant in Palliative Medicine, West Hertfordshire Teaching Hospitals NHS Trust

Tea and coffee break
Hypercalcaemia

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine

Close of meeting
View the programme - Day 5 (07.05.2024)

Registration, tea and coffee
Welcome and introduction

Dr Angela Halley, Consultant in Palliative Medicine, The Royal Marsden NHS Foundation Trust and Dr Jas Gill

Session 1

Nausea and vomiting - Pharmacology

Dr Melinda Presland, Consultant Pharmacist, Oxford University Hospitals NHS Foundation Trust

Nausea and vomiting - Clinical management

Dr Lisa Nolan

Tea and coffee break

Session 2

Bowel Obstruction: Evidence base

Dr Angela Halley

Bowel Obstruction: Cases

Dr Angela Halley

Lunch

Session 3

Constipation

Dr Joanne Droney, Consultant in Palliative Medicine, The Royal Marsden

Comfort break
Feeding tubes at the end of life: Practical aspects, evidence base and ethics

Dr Sophie Miller, Palliative Medicine Consultant, St George's Hospital

Tea and coffee break

Session 4

Anticoagulation

Mr Andrew Godfrey

Close of meeting
View the programme - Day 6 (04.06.2024)

Registration, tea and coffee
Welcome and introduction

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine 

Session 1

Recognising and supporting people with delirium and dementia - End of life dementia care

Dr Amanda Thompsell, Consultant Old Age Psychiatrist, West London Mental Health Trust

Drug treatment of depression

Dr Katy Burke, Consultant in Palliative Medicine, University College Hospital and Central and North West London NHS Foundation Trusts

Panel discussion
Tea and coffee break

Session 2

Management of anxiety

Dr Ben Clarke, Consultant in Palliative Medicine, Cambridge University Hospitals NHS Foundation Trust

Syringe drivers – Compatibility, diluents etc

Dr Melinda Presland, Consultant Pharmacist, Oxford University Hospitals NHS Foundation Trust

Panel discussion
Lunch

Session 3

When and how to stop drugs for patients towards the end of life

Dr Clare Smith

Panel discussion
Tea and coffee break

Session 4

Terminal agitation: Pharmacology of drugs

Dr Melinda Presland

Terminal agitation: Clinical aspects
Panel discussion
Close of meeting

Location

Royal Society of Medicine, 1 Wimpole St, Marylebone, London, W1G 0AE, United Kingdom

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