The FCP Podcast

• Liver function tests with Dr Sophia Than 'Its hard to change life style'

  Send us a textRichard is joined on the podcast by consultant hepatologist Dr Sophia Than.  During the episode we introduce liver function tests.  We discuss what is included in a liver function test, who needs a liver function test, any guidance for clinicians in interpreting liver function tests and some common reasons for abnormal liver function test.  We then discuss a case of a raised alanine transaminase,  including history, red flags, further investigations and referral. As always big thank you to Scott for your support.Richard Tennant - [email protected] Society of Gastroenterology - Management of abnormal liver function testshttps://www.bsg.org.uk/clinical-resource/guidelines-on-abnormal-liver-blood-testsFIB-4 https://www.mdcalc.com/calc/2200/fibrosis-4-fib-4-index-liver-fibrosisNAFLD scorehttps://www.mdcalc.com/calc/3081/nafld-non-alcoholic-fatty-liver-disease-fibrosis-scoreKings college acute liver injuryhttps://www.mdapp.co/kings-college-criteria-calculator-527/Change Grow Live https://www.changegrowlive.org/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/British Society of Gastroenterologyhttps://www.bsg.org.uk/

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• ReSPECT podcast with Debbie White 'Its not all about DNAR'

  Send us a textRichard is joined on the podcast by Advanced Clinical Practitioner (Nurse) and ReSPECT fellow Debbie White.  During the episode we discuss the 'Recommended Summary Plan for Emergency Care and Treatment' (ReSPECT).  We discuss the relevant background to the ReSPECT process, including why it was started, who the process is for, when should the process start and what are the legal implications for clinicians.  We then discuss two cases including an acutely unwell patient refusing further care and a new cancer diagnosis.  We us Debbie's expertise for the appropriate use of ReSPECT process in these situations. Hope you Enjoy the episodeAs always big thank you to Scott for your support.Richard Tennant - [email protected] Council https://www.resus.org.uk/respectWarwick University Respect Toolshttps://warwick.ac.uk/fac/sci/med/research/hscience/sssh/research/respect/resourcesE Learning for Healthhttps://portal.e-lfh.org.uk/Component/Details/626543GMC CPR Professional Standardshttps://www.gmc-uk.org/professional-standards/the-professional-standards/treatment-and-care-towards-the-end-of-life/cardiopulmonary-resuscitation-cprAdvanced Care Planning Guidance CCGhttps://www.cqc.org.uk/sites/default/files/20210318_dnacpr_printer-version.pdfMENCAP Reasonable Adjustments https://www.mencap.org.uk/easyread/about-reasonable-adjustmentsDNACPR Guidance https://www.turning-point.co.uk/_themesdelivery/content-delivery/assets/dnacpr-content/dnacpr-information-pack/content/index.html#/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/College of Paramedicshttps://collegeofparamedics.co.uk/

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• Palliative Care assessment with Angela Wilson and Alistair Duncan Episode 2 'Is this a normal reaction or should we be concerned'

  Send us a textRichard and Sophie are join by palliative care doctor Alistair Duncan and Nurse specialist Angela Wilson to discuss palliative care assessment. During the episode we then utilise their skills and knowledge to discuss a case of a palliative care patient with low mood/depression and nausea/vomiting. Including pertinent history, red flags and when to refer.Thank you Scott for all your help as always!West Midlands Palliative Care Guidance  https://www.westmidspallcare.co.uk/wmpcp/guide/Scottish Palliative Care Guidancehttps://www.palliativecarescotland.org.uk/news/news/new-guidelines-on-palliative-care-in-scotland-published/#:~:text=The%20guidelines%20provide%20practical%2C%20evidence-based%20or%20best-practice%20guidance,end%20of%20life%20care%20and%20use%20of%20medicines.Macmillanhttps://www.macmillan.org.uk/?gclid=f45758439b8e10e75a253f9ad779540a&gclsrc=3p.ds&msclkid=f45758439b8e10e75a253f9ad779540aNICE Prescribing in Palliative Care https://bnf.nice.org.uk/medicines-guidance/prescribing-in-palliative-care/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/College of Paramedicshttps://collegeofparamedics.co.uk/

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• Palliative Care assessment with Angela Wilson and Alistair Duncan Episode 1 'The only chance to get it right'

  Send us a textRichard and Sophie are join by palliative care doctor Alistair Duncan and Nurse specialist Angela Wilson to discuss palliative care assessment. During the episode they define palliative care, what the journey may look like for patients, who is involved and when should specialist team get involved.  We then utilise their skills and knowledge to discuss a case of a palliative care patient with pain. Including pertinent history, red flags and when to refer. Thank you Scott for all your help as always!West Midlands Palliative Care Guidance  https://www.westmidspallcare.co.uk/wmpcp/guide/Scottish Palliative Care Guidance https://www.palliativecarescotland.org.uk/news/news/new-guidelines-on-palliative-care-in-scotland-published/#:~:text=The%20guidelines%20provide%20practical%2C%20evidence-based%20or%20best-practice%20guidance,end%20of%20life%20care%20and%20use%20of%20medicines.Kathryn Mannixhttps://www.kathrynmannix.com/Coventry and Warwickshire Training Hubhttps://www.cwtraininghub.co.uk/College of Paramedicshttps://collegeofparamedics.co.uk/

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• Pain Assessment episode 2 with Dr Graham Dunthorn 'Patient need approach'

  Send us a textWe welcome Dr Graham Dunthorn to the podcast who is a GPwSI in Pain management.  During the podcast we define chronic pain, symptoms and types of pain.  We discuss assessment of a patient with fibromyalgia including history taking, diagnosis , investigations , red flags and referral. As always thank you for your help with the podcast Scott and thank you to our guest Graham for giving us his time on the podcast.NICE Guidelines Chronic Painhttps://www.nice.org.uk/guidance/ng193Royal College of Physicians  https://www.rcp.ac.uk/improving-care/resources/the-diagnosis-of-fibromyalgia-syndrome/Diagnosis of FibromyalgiaTo make a diagnosis using the ACR 2016 criteria the following need to be present  1 - Widespread pain index (WPI) ≥7 and symptom severity scale (SSS) score ≥5 OR WPI 4–6 and SSS score ≥9. 2 - Generalised pain, defined as pain in at least 4 of the 5 body regions, is present 3 - Symptoms have been present at a similar level for at least 3 months. Symptoms Severity Score (SSS) and Widespread Pain Index (WPI) calculator https://rheumcalc.com/fibromyalgia/Live Well With Painhttps://livewellwithpain.co.uk/Flippin Painhttps://www.flippinpain.co.uk/Pain Toolkithttps://www.paintoolkit.org/Rethink Pain https://rethinkingpain.org/Fibromyalgia UKhttps://www.fmauk.org/

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