Tackling opioid prescribing for treating pain in people with cancer

Picture of opioid drugs

Despite being commonly prescribed, opioids account for more reported drug errors than any other high-risk medication (Alanazi et al, 2016). They represent a significant patient safety and public health issue.

A new free online course from Newcastle University will help healthcare professionals increase their knowledge of the basic pharmacology of opioids so they are better able to prescribe opioids safely and effectively in the treatment of cancer-related pain.

Opioid Analgesics: Treating Pain in People with Cancerstarts on 29 July and is designed to  increase safe prescribing and monitoring practice for this patient group. This three week course covers the pharmacology of opioids, principles for safe prescribing, the rationale for prescribing opioids to treat cancer pain and the proactive management of  adverse events.

This course is for qualified healthcare professionals who prescribe opioid drugs and/or care for patients who are taking opioids anywhere in the world. It will be of particular use to general practitioners, palliative care specialists, acute hospital practitioners (surgical and medical disciplines), pharmacists and those with an interest in pain management, including medical and non-medical prescribers and those professionals involved in monitoring and supervision of opioid prescribing.

Dr Victoria Hewitt
Dr Victoria Hewitt
Photo of Dr Paul Coulter
Dr Paul Coulter

Opioid Analgesics: Treating Pain in People with Cancer is led by Dr Victoria Hewitt and Dr Paul Coulter. Vicky is a Specialist Palliative Care Physician and Curriculum Director for Masters programmes in Oncology and Palliative Care at Newcastle University, and has a special interest in safe medicines management at end of life. She has been blogging about the course here. Paul is a Consultant in Palliative Medicine, based at the Queen Elizabeth Hospital in Gateshead.

“I believe strongly that we have a moral obligation to use open courses to widen access to medical education and improve patient outcomes.   Lack of education for prescribers has been recognised as contributing to the so-called “opioid crisis” and was highlighted by the Gosport War Memorial inquiry.  Despite this, few courses about opioids are currently available outside the field of specialist addiction services.

This MOOC has been designed to address this unmet educational need and expands Newcastle Unversity’s profile within the global cancer and palliative care communities, positioning it as a key influencer of national and international opioid-prescribing agendas”. Dr Victoria Hewitt

Sign up now at: www.futurelearn.com/courses/opioid-analgesics

Make your learning and teaching resources more inclusive – two free online courses

Home Office poster on inclusive design.
Inclusive design is better for everyone.

Following on from the interest shown in a session, run by Ruth Graham and Sandy Alden, at the 2018 Learning and Teaching Conference, on designing inclusive learning, you can now sign up for two free online courses.

Inclusive Learning and Teaching Environments and Digital Accessibility: Enabling Participation in the Information Society are both from the University of Southampton.

Inclusive Learning and Teaching Environments runs from Sept 3rd for three weeks and is specifically for those working in Higher Education and interested in making elearning accessible to all.

Explore the barriers experienced by disabled students and learn how to overcome these barriers through inclusive practices.

Digital Accessibility: Enabling Participation in the Information Society runs from Oct 8th for five weeks, and has 8 universities discussing different aspects of digital technologies and accessibility from the developer and user’s point of view. It features case studies, new technologies and the latest news about legal standards and guidelines for web, mobile, documents, IoT etc. When there is:

“a better understanding of users’ needs, technologies can be developed to be accessible & provide a more inclusive environment”

Both courses are free, and offer practical hints and tips you can use straight away to make your own resources more inclusive.

Downtime on Hadrian’s Wall @VindolandaTrust

As we move into the weekend and we start to think about how we are going to spend our downtime, and pursue leisure activities, we’d like to share a video with you which gives a lovely insight into leisure time on Hadrian’s Wall.

Meet Dr Andrew Birley, one of our guest contributors to Hadrian’s Wall: Life on the Roman Frontier. We asked Andrew to talk about his one of his favourite objects at Vindolanda where he is Director of Excavations.

Hadrian’s Wall: Life on the Roman Frontier is a Newcastle University free online course lasting 6 weeks which starts on Monday 19 February (www.futurelearn.com/courses/hadrians-wall)

We can’t wait for Monday! Can you?

New Year: New Idea

The start of a new year is always a great time to consider problems you would like to solve and changes you would like to make.

On 23 January 2017, Newcastle University opens The Enterprise Shed: Making Ideas Happen, our free online course, to a new group of learners.  The four  week course recreates the creative atmosphere of a shed – or any other place where you do your best thinking and doing.  It promises to be a great place for you to work on those new year challenges and ideas.

Here, Katie Wray, Lead ‘Sheducator’, explains why you should all be joining her in The Enterprise Shed.

Lead Sheducator, Katie Wray
Lead Sheducator, Katie Wray

Enterprise and entrepreneurship at a grassroots level

Firstly, let me unpack ‘enterprise’. For me, enterprise is about making creativity, problem solving and ideas practical. This makes it relevant across all areas of education, not just business. Where enterprise is applied to creating a new venture, it is commonly known as ‘entrepreneurship’.

The Enterprise Shed challenges a variety of definitions of the entrepreneur, and looks at enterprise and entrepreneurship at a grassroots level. On the course, you will be introduced to a whole bunch of entrepreneurial individuals and teams, not all of whom refer to themselves as ‘an entrepreneur’.

How to make change in your own context

We are committed to exploring this question with you throughout the course, supporting you to draw your own conclusions about how you can make change in your own context.

Our other commitment is to exploring your ideas – collecting insights into what a solution looks like and helping you to turn that idea into something tangible. Finally, we are committing to developing your network, through which you can share your ideas, and put them into action once the course has finished.

That’s where you come in. This course is about you; it is about your role, through your ideas, in creating change. There are three main reasons why you should join us in The Enterprise Shed:

  1. Develop confidence in yourself as a “doer”

You will do this by analysing the behaviours of other entrepreneurial people who you will be introduced to on the course. You will draw conclusions about the way that they “do” and what you might “do” when approaching your own challenges, problems and projects.

  1. Address problems you want to change

You will do this through identifying problems, sharing them with others, creating and collaborating on ideas generation, and developing solutions together with peers on the course.

  1. Meet people and build networks

We will do this by forming virtual networks around the globe, which can outlive the end of the course. You will meet people that share your passions and drivers to make change in your world, find out where you can go for help, and collaborate to achieve impact.

The Enterprise Shed is not just a course, but a place where you can go to think, and critically, to do.

If you’d like to make your ideas happens, join The Enterprise Shed now or join the conversation using #FLentshed.

Why build the Wall?

At the end of week one of Hadrian’s Wall: Life on the Roman Frontier we have been asking “Why was the Wall built?”

If you would like to find some of the diverse views on this topic you can watch this extra discussion that Professor Ian Haynes held with world experts on Hadrian’s Wall.

In this 13 minute film, recorded in 2014,  you will see Ian talking with:

  • Professor David Breeze (Visiting Professor, Newcastle University),
  • Dr Sue Stallibrass (Historic England, Regional Science Advisor, NW England
  • Dr Nick Hodgson (Principal Keeper of Archaeology: Strategic Project Management, Tyne & Wear Archives and Museums)

Have their ideas changed your own thoughts at all?

Meet The Archaeologist: an interview with Prof Ian Haynes

Each year we open up Hadrian’s Wall: Life on the Roman Frontier to thousands of new learners.

While we know Prof Ian Haynes as the architect and lead Educator of Hadrian’s Wall, this is only a small facet of his life as an archaeologist!

Ian spoke to Archaeosoup Productions as part of their “Meet the Archaeologist” series – you can find out more about Ian’s interests and projects from this YouTube video:

Ian has made much of his scholarly work available on academia.edu – this can be accessed by creating a free account.

View Ian’s papers on Academia.edu

Find out about the next scheduled dates for Hadrian’s Wall: Life on the Roman Frontier

Using Trello to stay on track

trello_cardsThe LTDS Online Courses Team have been experimenting with a number of online tools to support team-working and in the process have become great fans of Trello.

A team in different places

Trello gives us a live representation of the project and current responsibilities. It is easy for us to add new people to the Trello Board as the project progresses irrespective of where they are.

To put on a course we bring together a team – academic colleagues, digital media, LTDS.  We are in different locations, and our academic leads can often be off campus.  An online tool works really well for us.

Trello screenshot

Enterprise Shed 2 Trello Board

Mocking up courses

Trello comes into its own after we have done a good deal of planning (on Post-it notes and paper).  We create a Trello List for each Week and give each step a Trello card.

By mocking up the course in this way it makes it easy to check that we have variety of media/approaches and it enables us to experiment with different routes through the learner activities.

If we think the content could be ordered better, then Trello allows us to drag and drop elements.

We also tend to add extra Trello Lists to the board to share project documents and resources eg actions around Marketing. This gives us a a complete “dashboard” for the project.

Customising Trello – agreeing conventions

One of the best things about Trello is that it is so easy to customise  to meet your needs.  If you can agree conventions with your team before you start you will reap the rewards later.

Here are some examples of what we did:

  • To help us see the mix of content in each week we defined labels that related to the activity type for each step, and applied these labels to the steps.

 trello_labels

  • We added Trello checklist to steps to record work to be done and progress.

trello_todo

  • We dragged cards which were finished to the “done” list once work on the associated step was complete.
  • Borrowing from agile practitioners, we indicated the amount of work left on a card by adding a number of asterisks to the end of each card’s title. (*) trivial, through to (***) significant
  • We put links on each card so that we could go straight to the step on the course.  That way if you spotted your name on a card, had time to give you could click through and edit the course content in a couple of clicks.
  • We added comments to Trello cards to remind ourselves of where we had got to, and to leave notes for other team members.

trellocomment

Other useful things

  • It is mobile friendly – Trello works really well on phones and tablets and has mobile apps available from the relevant appstores.
  • Trello has a good search function – eg “#video  WEEK 2” gives the status of steps in Week 2 that have been labelled as video.

trello_search

See the Trello.com for more details.

 

Do you do internet shopping? Online banking? Have a fitness tracker? How secure are they? You need our Cyber Security free online course!

We use devices connected to the internet every day. Smart watches, mobile phones, fitness trackers, tablets, bookreaders and more. And they all contain a wealth of personal information: our browsing histories, banking details, passwords etc.

But how secure are they?

In Newcastle University’s newest free online course: Cyber Security: Safety at Home, Online, in Life we explore the security usability tradeoff that we negotiate every time we use an online service.

This enjoyable and engaging three week course will take you about 3 hours a week to complete. By the end of the course we hope you will more informed and understand the risks of fraud and cyber crime better, to help you make more enlightened decisions about how to protect your personal information.

A composite of mugshots.
Meet the Cyber Security Educator and Mentor team. L-R: (Top row) Steve, Dylan, Phyllis, David, Peter (Bottom row) Martin, Charles, Sia, Aad, Kovila, Maryam.

The course is led by Dr Steve Riddle with an Educator and Mentor team drawn from researchers and practitioners from Newcastle University’s School of Computing Science, an acknowledged Academic Centre of Excellence in Cyber Security Research (ACE-CSR).

We invited some cyber security experts to preview the content. The North East Regional Cyber Crime Unit (UK) said:

I was impressed. The content is really relevant and dynamic and not just your basic security tips – there’s a bit more to it than that. It’s very user interactive.

You can join over 9000 people and sign up now. The course starts on Monday 5 September 2016.

Ageing Well: Falls starts 5 September

Ageing Well: Falls is a four week (2 hours a week) free online course, which starts on 5 September 2016. Previous learners really valued this engaging course which is having a real effect on people’s lives.

This course was excellent, it gave a lot of good information and dispelled many myths about “only old folks have falls”, as well as giving resources to check when problems arise.

Photo of Dr James Frith.
Dr James Frith, Lead Educator, Ageing Well: Falls

As we make the finishing touches to the course before it starts, we asked Dr James Frith, Lead Educator, a few questions which come up regularly:

Are falls really that dangerous?

James: Yes. Falls are hugely common and as we get older our bodies are less robust and are more likely to be injured during a fall. Serious injuries include broken bones and head injuries or serious bleeding. A broken hip can be devastating for some people. But for some people the loss of confidence following a fall can be just as disabling as a physical injury. Fortunately we can reduce the risk of falling and the associated injuries.

What is the most common story you hear from your patients?

James: Falls are complex and are rarely caused by a single factor. in each person who falls there are a mix of factors which contribute, so there is not really a typical type of fall.  However, common things which I come across are:

  1. Falling on the bus as people get up from their seats before it has stopped.
  2. Putting out the bins in wet or windy weather.
  3. Getting up too quickly to answer the telephone or the door.
  4. Slipping in the bath or shower.

What can increase a person’s risk of falls?

James: Researchers have identified hundreds of risk factors for falls, so we tend to stick to the ones that we can do something about. The main risks are having a poor gait or balance, poor eye sight, dizziness, some medications, and hazards in the home or on the street, but there are many more.

What can a person do to reduce the risk of falls?

James: Sometimes it can come down to common sense, such as keeping stairs free from clutter, turning on the lights and reporting dizziness to the doctor. But there are other simple ways too, such as keeping the legs active and strong through gentle exercise, having a medication review with a doctor or pharmacist, avoiding dehydration and having walking sticks measured by a professional.

What is the best way to recover from a fall?

James: If someone is prone to falls they should consider wearing a call alarm or keeping a mobile phone in their pocket, just in case they need to call for help. Some people can learn techniques to help them stand following a fall – usually from a physiotherapist or occupational therapist. In the longer term anyone who has fallen or is at risk of falls should seek help from a health professional to try to prevent future falls. Sometimes falls can be due to medical conditions which can easily be treated.

Everyone knows someone who has fallen. Why not join our friendly team of falls specialists and thousands of people like you to find out what you can do to help yourself, your family, friends or people you care for?

The lead educators were warm and engaging, and they were generous with their knowledge and expertise.

I liked the interaction between participants. It makes you feel you are not alone in your experiences.

Sign up now at www.futurelearn.com/courses/falls

We believe in lifelong learning

This September sees an opportunity to take part in our Ageing Well: Falls course, the third time we have delivered the course on FutureLearn.

FALLS_300x250 Starts 5 Sept Box

Looking back at our previous two courses, it is a real pleasure to see how engaged and enthusiastic our learners were with the course materials.  Learners worked together as a community and participated in discussions, activities and quizzes, creating an active and supportive learning environment.

Should this be a surprise?  Well not really, we know that FutureLearn have been working hard to “pioneer the best social learning experiences for everyone” and our course shows that this still holds with an older audience.

In the UK, only 9% of people aged over 65 and 36% of those aged 55-64 used a computer on a daily basis when surveyed in 2006. But by August 2014, these figures had risen to 42% and 74% respectively. Of particular relevance to our Ageing Well: Falls course, is that when older people use the Internet, one of the main reasons is to seek health information. 1, 2

Data from our course also helps to show that older people engage with online learning. The graph below shows the age distribution of 412 people who volunteered their age during one of our activities.  The oldest learner completing this activity was 87, showing that you are never too old to learn!

fallsgraph

As before the course will be facilitated by Dr James Frith, and colleagues from the Newcastle Falls and Syncope service. You can sign up at www.futurelearn.com/courses/falls

  1. Office for National Statistics. Internet Access – Households and Individuals: Statistical Bulletin; 2014.
  2. Morrell RW, Mayhorn CB, Bennett J. A survey of World Wide Web use in middle-aged and older adults. Hum Factors 2000;42(2):175-82.