Sonya Bushell

@sonyabushell.bsky.social

Resident doctor. Passionate about generalism, early palliative care, shared decision-making and advance care planning. Pursuing a clinical academic career - GPST1.

On the same theme, if you want to see your patient in 3months but know it will be at least 6months before they get the appointment, be honest and tell them that, so they know that if things are rubbish they shouldn’t just wait another week or two for that appointment

Sarah M@sarah-owl.bsky.social · 3mo ago

If you say you will come back with blood results, do. If they aren’t back, tell the patient. Seems obvious, but so often not done. If we don’t do what we say, how can patients trust us? Much of the distress around healthcare I hear is of feeling abandoned- wee things make a big difference

What a breath of fresh air! Bravo @clarefuller.bsky.social @sonyabushell.bsky.social Here's the helpful 'all parts of life' diagram discussed in this conversation. ACP as a life conversation instead of a death conversation. What a difference that would make.

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Clare Fuller@clarefuller.bsky.social · 3mo ago

Could we start planning ahead earlier? This question is asked by @sonyabushell.bsky.social Listen to ✔️learn about Sonya’s research ✔️shift from a medical to a societal model ✔️identify opportunities 🎧 speakforme.co.uk/podcast-epis... @drkathrynmannix.bsky.social #AdvanceCarePlanning

Great conversation and I so agree about the need for earlier planning. I encourage people to 'plan for the future' and avoid 'advance care planning' because it is so closely aligned to end-of-life. Do have a look at the My Future Care Handbook, now on its 4th edition: myfuturecare.org

My Future Care - Mycarematters 2020 CIC

My Future Care Handbook, 4th edition Interactive workbook with the information and forms you need to help you plan your later life. Over 70 A4 pages packed with information in order to make, record an...

myfuturecare.org

Winter might be over, but the A&E crisis isn't. According to NHS England, 93.6% of beds in hospitals are occupied. A safe occupancy level would be 85%. When wards are full, EDs become overcrowded. We call on the government to tackle this problem – which is hurting patients.

A statement from the Royal College of Emergency Medicine, which says: "More than 93% of hospital beds in England are occupied by patients".

However good palliative care must be available to everyone. And advance decision making to avoid unnecessary hospital transfers is vital. And listening and respecting concerns of patients and families. Too often these are absent.

On Mothers Day, I often think about all the trainees, young doctors and medical & nursing students that I’ve known over the years. I’m not their biological mother, but that doesn’t stop me from being very proud of what they’ve achieved. Supporting the next generation is about much more than genes.

a woman in a yellow jacket with the words you guys are amazing

ALT: a woman in a yellow jacket with the words you guys are amazing

media.tenor.com

'Dr Higginson added: “This is what happens when hospitals are being encouraged to chase targets for the sake of optics, rather than clinical care. The messaging from the centre has been all about concentrating on the least sick patients, whilst the sickest continue to wait for beds. '

His name appears on the triage list again. A feeling of failing this man on some level comes over me. The contracts push me in a direction that goes against the family GP I want to be. There is no tick box for continuity of care. 1/n

I volunteered in Dunkirk providing healthcare to people living in tents who were frequently evicted and faced death at sea. So sad to know that people are still experiencing such difficulties. Don't know what the solution is but current situation is inhumane www.theguardian.com/uk-news/2026...

‘One in, one out’: what has happened to asylum seekers forced to return to France?

In rare interviews, some of those sent back across the Channel after arriving in the UK on small boats describe what happened next – and the risks of a system organised to get rid of them

theguardian.com

44% of elderly HIU were on palliative care registers. We know that these are likely to miss many of those with non-malignant conditions, so probably a higher proportion with palliative care needs. Community palliative care and hospice care need more investment to keep people out of acute hospitals

Professor Azeem Majeed@azeem-majeed.bsky.social · 6mo ago

How should services for high-intensity users be organised? A scoping review of published literature with recommendations for future research and delivery of care. journals.sagepub.com/doi/10.1177/...

Thank you for sharing. It's sad that systems see hospital (with all that that entails) as the 'safest' option for people with dementia. Advance care planning has the potential to reduce distress and I hope we can continue to improve how it is done. Wishing you and your dad all the best

Emma Vardy@emmavardy2.bsky.social · 6mo ago

A personal blog @gerisoc.bsky.social on my dad's journey with dementia with some professional insights. Prompted by the recent @alzheimerssoc.bsky.social @hsjinformation.bsky.social report. www.bgs.org.uk/country-musi...