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.
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
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
Session 1
Recognising and supporting people with delirium and dementia - End of life dementia care
Drug treatment of depression
Panel discussion
Tea and coffee break
Session 2
Management of anxiety
Syringe drivers – Compatibility, diluents etc
Panel discussion
Lunch
Session 3
When and how to stop drugs for patients towards the end of life
Panel discussion
Tea and coffee break
Session 4
Terminal agitation: Pharmacology of drugs
Terminal agitation: Clinical aspects
Panel discussion
Closing remarks
Close of meeting
Location
Royal Society of Medicine, 1 Wimpole St, Marylebone, London, W1G 0AE, United Kingdom