Lelly Oboh @LellyOboh
Consultant Pharmacist/EMCC Coach/Passionate about patient centred care & maximising medicines outcomes/Inspiring others to be their best/ Own views/❤️Dr Martens Joined October 2018-
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Registration is open for our 'Navigating difficult conversations with confidence' webinar 5 June 12.30-14.00 More info & register here: sps.nhs.uk/articles/navig…
Primary care colleagues, we have amazing speakers @LellyOboh @ClaireLDearden consider signing up and sharing with colleagues & networks! Not one to miss #DoOnceAndShare @Chuckerby @MineshParbat @Janas2110 @Donna_Coops @wasimbaqir
Primary care colleagues, we have amazing speakers @LellyOboh @ClaireLDearden consider signing up and sharing with colleagues & networks! Not one to miss #DoOnceAndShare @Chuckerby @MineshParbat @Janas2110 @Donna_Coops @wasimbaqir
We're looking forward to seeing you all at the PCPA Midlands Symposium 30th April. This event is now full and registration is closed! 🚘Next stop on the PCPA Tour is London - 12th June Register here: pcpa.co/London2024 #pcpaevents
@LellyOboh Great advice from @LellyOboh . In my experience prescribing something is the default and perceived as ‘safer’ option. Prescriber takes legal responsibility for appropriateness every time a prescription is signed/authorised - have we lost sight of the point of having prescriber?
NHSLondon project 2014 hsj.co.uk/technology-and… identified several barriers in pry care. 10yrs later, still barriers wrt ☹️Good transfer of info at ToC to enable generalists deprescribe ☹️Easy access/availability of non-drug options to prevent prescribing #MustDoBetter #NORreport
NHSLondon project 2014 hsj.co.uk/technology-and… identified several barriers in pry care. 10yrs later, still barriers wrt ☹️Good transfer of info at ToC to enable generalists deprescribe ☹️Easy access/availability of non-drug options to prevent prescribing #MustDoBetter #NORreport https://t.co/VyfS0LR4gL
Asking ‘What matters most to you’ is a good place to start conversations abt #Prescribing, #Deprescribing #MedReview #MedReconciliation #PatientOutcomes 👍🏾Helps set patient centred priorities & goals 👍🏾Facilitates shared decision making with the older person @PrescQIPP @pcpa_org
Asking ‘What matters most to you’ is a good place to start conversations abt #Prescribing, #Deprescribing #MedReview #MedReconciliation #PatientOutcomes 👍🏾Helps set patient centred priorities & goals 👍🏾Facilitates shared decision making with the older person @PrescQIPP @pcpa_org
Prob better to Rx NOTHING vs Rx SOMETHING harmful if BPSD w no sev distrss or rsk to self/others ASK ‘What is real risk if not Rxed NOW? If SOS 👉🏾NHSE #Antipsych resource shorturl.at/wBFQ5 Set a f/up DATE & CRITERIA to continue or #DeRx thats visible in pt record #NoExcuse
Prob better to Rx NOTHING vs Rx SOMETHING harmful if BPSD w no sev distrss or rsk to self/others ASK ‘What is real risk if not Rxed NOW? If SOS 👉🏾NHSE #Antipsych resource shorturl.at/wBFQ5 Set a f/up DATE & CRITERIA to continue or #DeRx thats visible in pt record #NoExcuse https://t.co/T7TONDgTNR
This looks good @STEVECHEMIST @ZOEaustralia1 @lawrencebrad22 @JonnyUnderhill @amysemple76 @sundusjawad1 @PharmRJ will pinch the pic for Polypharmacy ALS😊
This looks good @STEVECHEMIST @ZOEaustralia1 @lawrencebrad22 @JonnyUnderhill @amysemple76 @sundusjawad1 @PharmRJ will pinch the pic for Polypharmacy ALS😊
sharing good news today with @Age_NI consultative forum supporting @BelfastTrust pharmacy #MOOP @pharmacyatQUB research into falls & medicines use in older people. We are NI Healthcare Awards Finalists 2024! 😊 #NIHA24 @DrCaroleParsons @Moira29 @mccusker_eimear @Macnair2002S
JAMA. In old pple, clinicians can consider shorter duration of DAPT post PCI to reduce bleedn risk w/out incr risks of net adv clin events OR major adv CVS events. DAPT x3mths may be optimum. shorturl.at/kHPU6 #TailoredDosing #HighGIBleed⚠️ #ShorterDuration #Overprescribing
JAMA. In old pple, clinicians can consider shorter duration of DAPT post PCI to reduce bleedn risk w/out incr risks of net adv clin events OR major adv CVS events. DAPT x3mths may be optimum. shorturl.at/kHPU6 #TailoredDosing #HighGIBleed⚠️ #ShorterDuration #Overprescribing
REDUCE-AMI trial. Long-term beta-blockers may not reduce risk of death post MI, if preserved LVEF ≥50% Is it too soon to be ‘reductive’ in some pts vs routinely adding beta-blockers for ALL pts post MI? @DrRaniKhatib #WatchingThisSpace 👀 #OneLessPill #Overprescribing
Im presenting a poster at the Clinical Pharmacy Congress London 2024. Pharmacy technician-led pt centred med reviews to reduce overprescribing of PRN paracet & laxatives in care homes @SELondonICS Don't forget to register to join me there... #CPCongress invt.io/1txbsc4j3vg
New medication and falls searches are now available to identify red and amber FRIDs list patients. This will support prioritising patients at highest risk of falls due to their medicines. Take a look here 👉 ow.ly/ii8450R20rA @LellyOboh @APTUK1
We're excited to announce that entries the 2024 #PrescQIPPAwards will be opening shortly! Visit our website to find out more about the categories and the entry process. prescqipp.info/community-reso… #PrescQIPP2024 @APTUK1 @PrescribersUK @wasimbaqir @LellyOboh @pcpa_org
Barry & I remember our colleague & friend #NinaBarnett today. Sharing grt memories, kind words/thots from many colleagues with yr4 Pharm students. Thx @reem_kayyali @KingstonUni for dedicating your Gp practice simulation room to her #GoneNotForgotten #BeMoreNina #PatientCentred
@KingstonUni Privileged to listen to Lelly and Barry talking about their experience working with Nina! @LellyOboh @KingstonUni
@KingstonUni @LellyOboh Nina’s 5As: Ask, Acknowledge, Address, Accept, Agree actions @LellyOboh
@KingstonUni @LellyOboh Be more Nina! @LellyOboh
So proud that @KingstonUni is hosting a memorial lecture to celebrate Prof Nina Barnett's achievements delivered by @LellyOboh & Dr Barry Jubraj. It will be live streamed on March 19th at 12pm. DM if you would like the link to join online. Thank you @reem_kayyali for organising.
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104K Followers 2K Following Welcome to the home of health and care leadership development. Our programmes, resources and activities bring world-class learning to NHS people and partners.
Emma Vardy @emmavardy2
6K Followers 1K Following Geriatrician #frailty #delirium Honorary Chair MAHSC UoManchester. GM NIHR ageing lead. Exercise is medicine! Mum to girl with PKU. I talk about books a lot!
Nancy Dixon @nancymdixon
2K Followers 57 Following Nancy Dixon is a thought leader in the field of Knowledge Management. She focuses on the human side of KM and is known for practices to transfer tacit knowledge
Nick Milton @nickknoco
3K Followers 141 Following Knowledge Management guide, coach, trainer, service provider, author, with 30 years KM experience. Director and founder of Knoco. Grandfather. Novice beekeeper.
National Association .. @nalwuk
4K Followers 2K Following 📌The award winning 🏆 UK professional home 4 #socialprescribing #linkworkers Enabling professional excellence & representation #LinkWorkerDay24
Sam Finnikin @sfinnikin
3K Followers 2K Following GP at @_SCGP_ Personalised Care/CVD Researcher @UoB_IAHR Interested in using SDM to improve pt care. Own opinions
Ageing Better @Ageing_Better
33K Followers 2K Following The Centre for Ageing Better is a charity working to create a society where everyone enjoys later life. Supported by @TNLComFund
Maricarmen Climént @mc_climent
1K Followers 735 Following Comunicación de riesgo y evidencia. Antes Winton Centre @Cambridge_Uni, ahora @Senseaboutsci Fundadora y co-creadora del podast @panpalsustomx
💥NSAIDs and Oedema💥 ➡️NSAIDs remove the inhibitory effect of prostaglandins on sodium reabsorption. ➡️Both nonselective and COX-selective NSAIDs can lead to sodium retention. ➡️Prolonged therapy may result in weight gain (0.5 to 1 kg in healthy individuals). ➡️Patients with…
"As a medical student I had a head full of defined sets of symptoms and signs that led to solid diagnoses, but once I entered practice I discovered the real world is much messier." @HelenRSalisbury on how continuity of care deepens GPs' understanding bmj.com/content/385/bm…
@CrawfordPaulah @BelfastTrust @DrCaroleParsons @mccusker_eimear @pharmacyatQUB @Moira29 @NICPLD1 @kyronmedia @Macnair2002S @drcathyjack @Age_NI @paulaburns8811 @ShazzaJ07 @LellyOboh @Heatherspharm @DrRuthM @CarmelBurns @UnaONei91168524 Congratulations @CrawfordPaulah and team - wonderful recognition of essential work in our frail patients 👏
Delighted for @BelfastTrust #moop/clinical pharmacy teams with @DrCaroleParsons and Dr Rick Plumb who won the postgraduate pharmacy research award last night at NI healthcare awards @mccusker_eimear @pharmacyatQUB @Moira29 @NICPLD1 @kyronmedia @Macnair2002S @drcathyjack @Age_NI
Registration is open for our 'Navigating difficult conversations with confidence' webinar 5 June 12.30-14.00 More info & register here: sps.nhs.uk/articles/navig…
Primary care colleagues, we have amazing speakers @LellyOboh @ClaireLDearden consider signing up and sharing with colleagues & networks! Not one to miss #DoOnceAndShare @Chuckerby @MineshParbat @Janas2110 @Donna_Coops @wasimbaqir
Registration is open for our 'Navigating difficult conversations with confidence' webinar 5 June 12.30-14.00 More info & register here: sps.nhs.uk/articles/navig…
We're looking forward to seeing you all at the PCPA Midlands Symposium 30th April. This event is now full and registration is closed! 🚘Next stop on the PCPA Tour is London - 12th June Register here: pcpa.co/London2024 #pcpaevents
@LizButterfield1 @emma_davies50 @LellyOboh I remember (back in 1998) Dr Naylor @UniofBradford Starting a pharmacology module by referring to the notion of "a pill for every ill". Didn't realise at the time that it was a warming of things to come.
@LellyOboh Great advice from @LellyOboh . In my experience prescribing something is the default and perceived as ‘safer’ option. Prescriber takes legal responsibility for appropriateness every time a prescription is signed/authorised - have we lost sight of the point of having prescriber?
Excellent, 'comprehensive' 😉Frailty course delivered by Frailty team in Leeds. Highly recommend anyone working with frailty to attend. Great content, relevant and thought provoking cases and well presented @LeedsFrailtyEd @sean9n @Heatherspharm
Narrative Medicine @LeedsFrailtyEd @sean9n @Heatherspharm @dula79 @LellyOboh #betterconversations #personcentredcare
Medication review is a component of a CGA, deprescribing opportunity @LeedsFrailtyEd @sean9n @Heatherspharm @LellyOboh @dula79
@PareshHParmar1 @drsldurai @GerisDoc86 Love this - start with "what matters to you?" Everything else falls into place #CGA
@wasimbaqir @TonyAvery1 More reasons not to prescribe them in the first instance!
How to improve drug evaluation in older patients: The perspective of the European Geriatric Medicine Society (EuGMS). #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…
@sundusjawad1 It’s a tragedy that despite the 2009 Banerjee report & call to action, things are still carrying on the same. We must do better for patients with dementia rpharms.com/resources/repo…
Very concerning findings re. #Antipsychotics in #dementia "Antipsychotic use compared with non-use in adults with dementia was associated with ⬆️ risks of stroke, venous thromboembolism, MI, HF, fracture, pneumonia and AKI". 1/2 bmj.com/content/385/bm…
@BPharmJiang This needs a big revisit . Since the pandemic prescribing rates have gone up. There is national data ( hurrah!). Should this not be a big medication safety measure? We are working on locally but it’s hard graft. But a very important area for better care of older people.
Always cognisant of the increased risk of stroke and death over 6-12 weeks when reviewing antipsychotic medication in people living with dementia. Can be very effective but lowest dose for least amount of time. Review, review, review!
Very concerning findings re. #Antipsychotics in #dementia "Antipsychotic use compared with non-use in adults with dementia was associated with ⬆️ risks of stroke, venous thromboembolism, MI, HF, fracture, pneumonia and AKI". 1/2 bmj.com/content/385/bm…
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