July 2021

Pain in PDOC

First published: July 30, 2021 Last modified: July 30, 2021 PDOC stands for Prolonged Disorder of Consciousness; the term covers two previously defined states: vegetative and minimally conscious. This post considers the question, “Does a person in a prolonged disorder of consciousness experience pain?” This question covers both pain caused by care or treatment and […]

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Rehabilitation research news

Today, 18th July 2021, the UK National Institute for Health Research (NIHR), one of the major health research funding bodies in the UK announced £19.6M had been allocated to research into the late effects of Covid-19 infection (here), commonly known as Long Covid. This is in addition to £18.5 million allocated in February (here), funding

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An impossible decision

Doctors make decisions and are mainly used to making difficult decisions which involve not simply clinical facts but family, ethical, legal and societal factors. Nevertheless, we are lucky to have an ultimate fall-back, the legal system, when decisions are ‘impossible’. In England and Wales, this is the Court of Protection which, fortunately, has some exceptionally

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Goal attainment scaling.

On Friday, 2nd July 2021 (at 05.00 hrs), I participated in a debate organised by Professor Barbara Wilson and hosted virtually in Melbourne, Australia. The discussion concerned the use of goal attainment scaling (GAS). Two speakers supported its use clinically, in audit, and in research; two opposed it. At the outset, only 4% of listeners

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Entrustability – what is it?

Most professions initially developed based on trust. Examinations were rare. Doctors (and other professions) learn through experience. For healthcare, as science advanced and increased in importance, examinations in basic sciences were introduced. Once qualified, further advance depended upon the trust of patients and other doctors. Even when I trained, the only examination after qualification was

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