A taste of your own medicine

6680441249_b6ed9537f5_oDipti Samani is a Speciality Registrar (ST6) in Geriatric medicine working in the East Midlands South Deanery, and tweets at @HmniDipti. In this blog she looks at an inventive approach to NHS Change Day.

“Treat others as you would wish to be treated” is something I have heard time and time again growing up. I wonder if this is only true in personal relationships and dealings. Can we, and should we, extend this out into our professional lives, both in terms of our colleagues and also to the patients that we treat?

After my 2014 NHS Change Day pledge to walk in my patients’ shoes for a day by wearing a continence pad: ‘Continence: My Conscience is Clear’; I decided this year to go back to the roots of NHS Change Day and Damien Roland’s idea to taste the medicines that we give to our patients.

The aim of doing this was not just to know how (awful) some medicines taste, but to give myself and others an appreciation and awareness of what our patients go through. I wanted to highlight some of the alternative medications where available and to increase our compassion towards patients.

I took some of the common medications prescribed to older people to a lunchtime meeting in our department. The medications included: laxatives (Lactulose, Laxido), food thickeners, Sando-K, various nutritional supplements, Calogen and Hypostop – I’m sure you can think of more, but these were the most benign, unpleasant ones I could think of. The experiment was completely voluntary and I was impressed that all grades of doctor from medical student (who seemed to think it was some kind of initiation) to consultant took part. Of course I couldn’t have done this without the support of our departmental pharmacist who sought permission to support us with samples.

Feedback given from the tasters included recognition of the difficulties experienced by patients, increased care when thinking about prescribing, and empathy with patients’ experiences. It shows that it is sometimes easy to forget about the person behind the patient, and by putting ourselves in their place, it is possible to re-awaken our compassion for them:

I would love to go one step further to see if we could all be more compassionate and kinder towards each other in the work place. Patients are here to get better and we could acknowledge that they may be having a rough time; meanwhile, each of us comes to work only to do our best and to help people, and a lack of compassion with unkind words or actions towards each other just serve to depress this aim.

I would wish that by giving ourselves a taste of our own medicine this NHS Change Day, we will hopefully be able to get closer to treating others how we would like to be treated ourselves.

Photo credit: Ian Lamont via flickr

Continence: my conscience is clear!

Dipti Samani is a speciality trainee registrar in Geriatric Medicine working in Leicester.continence2

As NHS Change Day approached I thought about what I could do to help raise awareness about the issues that affect my patients. I was in the continence clinic at the time and wondered if it would be too crazy to consider wearing a continence pad for the day… Continue reading

The silent revolution – Is the biggest change to NHS services happening ‘under the radar’?

Melissa Way, NHS Change Day Regional Lead for South East & West of EnglandNHSchangeDay

The NHS is certainly no stranger to change. The current re-organisation, famously described by the NHS Chief Executive as ‘so big, you can see it from space’, has followed a similar pattern to those that have gone before – largely top-down and centrally-imposed.

However, there’s another change movement at work in the NHS today. And this one has its roots firmly in the frontline.

NHS Change Day started in 2012 as a “conversation” between emerging leaders from different parts of the NHS. Continue reading