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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. John Clarke‏ @C7RKY Jul 9

      John Clarke Retweeted Aidan Brennan #FBPE

      Sorry - what exactly is being suggested here? 'Shouldn't judge'? Is conducting these conversations not now established to be a lawful requirement? @katemasters67 #HSJPatientSafetyhttps://twitter.com/braemar88/status/1016283271288819714 …

      John Clarke added,

      Aidan Brennan #FBPE @braemar88
      Great talk by @jhartin about talking DNACPR. "We shouldn't judge those who dont/can't carry out these conversations". We shouldn't push anyone to do it, psychological safety is paramount. #HSJPatientSafety #RRS18
      4 replies 2 retweets 1 like
    2. Aidan Brennan #FBPE‏ @braemar88 Jul 9
      Replying to @C7RKY @katemasters67

      If anything it makes them a better one, recognising their limits. A poorly lead discussion can do untold damage. @jhartin

      1 reply 0 retweets 4 likes
    3. John Clarke‏ @C7RKY Jul 9
      Replying to @braemar88 @katemasters67 @jhartin

      With respect, a poorly delivered, (or undelivered), general anaesthetic can do untold damage too - but we don't let people skip over that step with patients because they've had a bad experience previously. It's a skill like any other which must be mastered to be competent, imho.

      1 reply 1 retweet 5 likes
    4. j hartin‏ @jhartin Jul 9
      Replying to @C7RKY @braemar88 @katemasters67

      I don’t think anyone is saying not to do it; what I / we are asking is to support staff properly. You wouldn’t ask the dermatologist to give a GA. However the dermatologist might retrain, and be well supported during the training, in anaesthesia. 🤔

      1 reply 0 retweets 4 likes
    5. Kate Masters‏ @katemasters67 Jul 9
      Replying to @jhartin @C7RKY @braemar88

      DNACPR isn’t anyone’s speciality, could that be part of the problem?

      2 replies 0 retweets 4 likes
      John Clarke‏ @C7RKY Jul 9
      Replying to @katemasters67 @jhartin @braemar88

      That's true, but this is not really a change of discipline for me. All treating clinicians must be able to communicate relevant info to pts already. For consent, if nothing else. If discussing death is the problem, then maybe the insurance industry can help - they do it every day

      8:23 AM - 9 Jul 2018
      • 1 Retweet
      • 2 Likes
      • Trisha Elliott Kate Masters Linda Dykes
      2 replies 1 retweet 2 likes
        1. New conversation
        2. Kate Masters‏ @katemasters67 Jul 9
          Replying to @C7RKY @jhartin @braemar88

          Or the funeral industry, or crematorium staff.

          1 reply 1 retweet 2 likes
        3. John Clarke‏ @C7RKY Jul 9
          Replying to @katemasters67 @jhartin @braemar88

          Quite. Certainly not something I'd expect to be beyond the abilities of a trained clinician tbh. And if it is, then the training needs to be reflected upon, imho.

          1 reply 0 retweets 0 likes
        4. Rumer's Rainbow‏ @RumersRainbow Jul 9
          Replying to @C7RKY @katemasters67 and

          Yes – I don't see why discussing DNACPR should be more difficult than other discussions about other treatment options to plump for or not. Eg discussing not to offer surgery to someone who the clinician doesn't feel it would benefit?

          1 reply 1 retweet 6 likes
        5. j hartin‏ @jhartin Jul 9
          Replying to @RumersRainbow @C7RKY and

          That sounds so rational, but the reality is that it is difficult. I have spoken with surgeons who are totally fine with not offering surgery as won’t help (and patient likely to die), but still want patients to have CPR. 🤔

          2 replies 0 retweets 2 likes
        6. John Clarke‏ @C7RKY Jul 9
          Replying to @jhartin @RumersRainbow and

          Eh? Even - to borrow a phrase - where it's considered clinically futile? Why? What am I missing?

          3 replies 0 retweets 1 like
        7. j hartin‏ @jhartin Jul 9
          Replying to @C7RKY @RumersRainbow and

          Psychology / emotion / the things that make us human

          1 reply 0 retweets 2 likes
        8. John Clarke‏ @C7RKY Jul 9
          Replying to @jhartin @RumersRainbow and

          I'd need to better understand that. Considering all the other psychologically challenging / emotional tasks clinicians undertake, which may quite literally include brain surgery, this seems far from exceptional - not to downplay its difficulty for some.

          2 replies 0 retweets 1 like
        9. j hartin‏ @jhartin Jul 9
          Replying to @C7RKY @RumersRainbow and

          I don’t think you will ever ‘get it’

          2 replies 0 retweets 1 like
        10. 11 more replies
        1. New conversation
        2. Aidan Brennan #FBPE‏ @braemar88 Jul 9
          Replying to @C7RKY @katemasters67 @jhartin

          Good grief how on earth can you compare this highly sensitive often painful subject to the insurance industry peddling their products for profit.

          2 replies 0 retweets 0 likes
        3. John Clarke‏ @C7RKY Jul 9
          Replying to @braemar88 @katemasters67 @jhartin

          Because Aidan, in the pursuit of excellence we don't rule out any potential source/industry in the pursuit of securing every possible improvement. There is no obligation to throw out the baby with the bath water, just because you don't like the look of the bath water. That's how.

          0 replies 0 retweets 0 likes
        4. End of conversation

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