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generating lots of discussion on DNACPR orders & how we communicate treatment escalation plans
Conclusions: healthcare team needs to be more open/clearer when talking about realistic expectations & death
Each patient needs an individualised plan if they have chronic... https://twitter.com/edpractitioner/status/1360905910495940610
generating lots of discussion on DNACPR orders & how we communicate treatment escalation plansConclusions: healthcare team needs to be more open/clearer when talking about realistic expectations & death
Each patient needs an individualised plan if they have chronic... https://twitter.com/edpractitioner/status/1360905910495940610
...&/or deteriorating health conditions
Patients & families should be informed but not made to feel responsible for what is a clinical decision
We should address the misconception that DNACPR orders equals âsuboptimal treatmentâ...
Patients & families should be informed but not made to feel responsible for what is a clinical decision
We should address the misconception that DNACPR orders equals âsuboptimal treatmentâ...
The . @RCPLondon released guidance recently to help with these #ImportantConversations
Part of those conversations include asking #WhatMattersMost to our patients whilst being honest about likely treatment outcomes - based on evidence... https://www.rcplondon.ac.uk/projects/outputs/acute-care-resource-end-life-care-acute-care-setting
Part of those conversations include asking #WhatMattersMost to our patients whilst being honest about likely treatment outcomes - based on evidence... https://www.rcplondon.ac.uk/projects/outputs/acute-care-resource-end-life-care-acute-care-setting
... #COVID19 has revealed some uncomfortable truths on how a small number of DNACPR orders have been poorly communicated/applied
The . @CareQualityComm report has highlighted this & we need to take those lessons to move forward and be better...
https://www.cqc.org.uk/publications/themed-work/review-do-not-attempt-cardiopulmonary-resuscitation-decisions-during-covid
The . @CareQualityComm report has highlighted this & we need to take those lessons to move forward and be better...
https://www.cqc.org.uk/publications/themed-work/review-do-not-attempt-cardiopulmonary-resuscitation-decisions-during-covid
Part of that is accepting death happens & at some point, our treatments donât work
We also need to acknowledge that our patients often want to have a realistic honest conversation about their treatment outcomes & put advance life planning in place (data from . @AGoodDeath)...
We also need to acknowledge that our patients often want to have a realistic honest conversation about their treatment outcomes & put advance life planning in place (data from . @AGoodDeath)...
...We also need to acknowledge our biases & have safety nets that monitor for these
What we shouldnât do is take steps backwards when it comes to Advance Life Planning
We should be encouraging our patients to do this & engage in these conversations early - not in the heat...
What we shouldnât do is take steps backwards when it comes to Advance Life Planning
We should be encouraging our patients to do this & engage in these conversations early - not in the heat...
...of the moment
Advance Life Planning is the best way our patients can #TakeControl of their health & empower their voice in their treatment decisions
#health #EOLC #ImportantConversations #COVID19 #MedTwitter #NurseTwitter #OneTeam
Advance Life Planning is the best way our patients can #TakeControl of their health & empower their voice in their treatment decisions
#health #EOLC #ImportantConversations #COVID19 #MedTwitter #NurseTwitter #OneTeam
