Zoom

Dr Mary Miller - Consultant in Palliative Medicine, Sobell House, Honorary Senior Clinical Lecturer in Palliative Medicine, University of Oxford, Director OxCERPC (Oxford Centre for education and research in palliative care) and Clinical Lead for NACEL

Dr Miller qualified from University College Cork, Ireland in 1988. She trained and worked in palliative medicine in Ireland, Sweden and the UK and has been a consultant in palliative medicine in Oxford since 1998. Dr Miller has a strong interest in education; completing a Diploma in Learning and Teaching at Oxford University 2005, was Training Programme Director and Regional Specialty Advisor (2002 – 2008) and has led the Oxford Advanced Courses in Pain and Symptom Management since 2005. She is an elected member of the Education Committee of the Association of Palliative Medicine and joint lead of the postgraduate education special interest forum. Since the inception of OxCERPC in 2017, Dr Miller and the team are focusing on building an exciting portfolio of courses, building research readiness and reaching out to practitioners across the globe.

Dr Emma Frampton - Medical Director and CQC Registered Manager at Dorothy House Hospice Care

Dr Frampton has been a Medical Consultant at Dorothy House since 2011 before her appointment to Medical Director in 2021. Previously, she worked as a GP in Somerset before moving to Oxford where she undertook specialist training. In 2012, Dr Frampton completed a Master's degree in Palliative Medicine, and in 2016 she became a fellow of the Royal College of Physicians. Dr Frampton's particular areas of interest are complex ethical situations and non-malignant conditions.

Dr Cherith Semple - Professor in Clinical Cancer Nursing, Ulster University and South Eastern Health and Social Care Trust

Prof. Cherith Semple, has over twenty years of clinical practice, education and research experience in oncology nursing. She is a Professor in Clinical Cancer Nursing, which is a joint clinical academic appointment between Ulster University and South Eastern Health and Social Care Trust. Cherith currently has a clinical caseload providing care to patients and their families newly diagnosed with head and neck cancer, and leads on two research programmes of work, namely, “Promoting positive coping when a parent of dependent children has cancer” and “Addressing QOL issues for patients with head and neck cancer”. She also supervises PhD and MSc students and impacts teaching programmes for nurses. Some key achievements include RCN Northern Ireland Nurse of the Year in 2015, awarded a MBE in the Queen’s Honour List in 2017 and British Association of Head and Neck Oncologist Lifetime Achievement Award in 2023.

Emma Stoppani - Community Heart Failure Specialist Nurse, Oxfordshire Heart Failure Team, Oxford Health NHS Foundation Trust

Emma Stoppani is a heart failure specialist nurse with a background spanning 14 years in the community setting. Her journey began in Critical Care Units (CCU and ICU), working for 11 years in Oxford and Sydney, where she developed expertise in managing acute conditions. Emma's true passion lies in community heart failure nursing with a special interest in end-of-life (EOL) care.

09.00 - Registration

09:15 - Welcome and Introduction

09:25 - End of life care for patients with Parkinson’s disease (Dr Mary Miller)

Caring for patients as they lose their oral route – goals of care, medications to use and those to avoid.
Thinking ahead and use of Rotigotine patches. Do you always need them?

10:10 - Hydration at the end of life (Dr Mary Miller)

Language used to discuss diminishing drinking, mouth care and hydration. What does the evidence tell us and what is on the horizon?

10:40 - Break

11:10 - The care of children when their important adult is dying (Prof Cherith Semple)

Thinking of future generations, looking for the children in the family and supporting their important adults to have important conversations

12:30 - Break

13:30 - Benzodiazepines: an update (Dr Mary Miller)

Are these the best medications for the management of anxiety and delirium at the end of life – are there other options when consciousness is a priority?

14:00 - Breathlessness (Dr Mary Miller)

Look at the evidence – do opioids and Mirtazapine work in the management of breathlessness? What else can we use?

14:30 - Break

14:45 - Cardiac failure (Emma Stoppani)

Experienced community heart failure specialist nurse practitioner will update us on the management of heart failure in patients approaching the end of their life

15:45 - Final remarks

16.00 - Close of day

Knowledge to inform your practice
Resources from which to continue learning and adapt that learning in practice
A means of ensuring your practice compares with ‘good practice’, benchmarking against your peers
Stimulation, time for thinking and reflection