
The Journey Together Palliative Nursing Across Care Settings
Sep 8, 2025
Sharon Brennan, a community palliative clinical nurse specialist who provides home-based symptom support; Katy Tysalls, clinical nurse manager running an inpatient hospice unit; Rosaleen Hughes, clinical nurse specialist with long hospice and hospital experience. They talk about hospice care across home, hospital and inpatient settings. Conversations cover symptom management, family communication, triage and discharge coordination. Emotional, practical care is highlighted.
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Small Comforts Like Ice Chips Can Be Transformative
- Rosaleen described a patient with ulcerated lips who couldn't swallow; simple ice chips provided relief when creams burned.
- Small, creative interventions like holding ice in a glove made an immediate quality-of-life difference.
Team Backup Reduces Clinical Isolation
- Working within a supportive multidisciplinary hospital team gives nurses immediate access to doctors and consultants when symptoms exceed usual expertise.
- That backup reduces isolation and enables safe escalation of complex symptom control.
Student Placement Sparked A Palliative Pathway
- Katy Tysalls first fell for palliative nursing during a hospice placement as a student and later self-funded further palliative courses to build skills.
- Her path moved from acute neurology to St Francis Hospice, then to clinical leadership in Sligo.



