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Objective: The goal of this study was to evaluate osteoporosis screening practices in male patients aged 70 and older. Methods: A survey-based study was carried out over six months at an academic primary care institution in the Midwest. Results: Seventy-nine male patients and fifteen primary care physicians were surveyed. Less than 10% of males recalled being screened for osteoporosis. Two-thirds of physicians reported regularly screening males for osteoporosis. Conclusion: Elderly male patients are overwhelmingly under-screened and undertreated for osteoporosis.

Fentanyl has a low molecular weight and is lipophilic making it suitable for transdermal administration. However, multiple factors appear to lead to interindividual variation in absorption via this route. Here we describe an unusual case where a patient was found to have twelve 100 μg/hour fentanyl patches in situ which she was using as background analgesia.

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staff. Organisations need to enable systems to facilitate and encourage reflective practice and reflection of self. High quality care requires investment in staff development and opportunities for staff to take time out to reflect on their practice. Aims 1. Explore self-awareness and how it connects to wellbeing. 2. Look at how mindful self-compassion can help our wellbeing.3. Identify and discuss potential ways of improving wellbeing and resilience for self and others.Methods A pilot was undertaken following an identified gap in wellbeing delivered by Marie Curie. Qualitative evaluation was undertaken on completion of the course and six months post.Results Given the continued pressures of COVID-19, a high dropout was expected and on reflection worked to the advantage of the facilitators and participants. 10 staff attended, 50% of confirmed attendees. 7 non-clinical staff, 3 clinical. Participants felt the focus on self, including compassion, mindfulness, awareness, and reflection was important and identified that sessions should be kept small. Feedback reinforced the assumption that non-clinical staff needed further support opportunities. Following successful evaluation this is due to be delivered again later in 2022. ConclusionThe safe, effective, efficient, and compassionate care that people look to Marie Curie for at the end of life is only possible if staff are physically and emotionally healthy.Having compassion for others entails self-compassion. Research suggests that mindfulness interventions, particularly those with an added loving kindness component, have the potential to increase self-compassion among healthcare workers.