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.
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I don’t think you will ever ‘get it’
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He would, more than most.
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Ha! Thanks Kate. Although without seeing it several times first hand and talking to those involved, Jill's right - I'll probably never 'get it'. I can't explain it away currently. It makes no sense to me tbh. Real though the phenomenon may be.
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Its hard to get why clinicians find this convo so hard. I don’t really. I’ve had (too) many people screaming murder at me after a missed/poor DNR convo. At that point, none of the reasons cut any ice with bereaved relatives; they just sound like excuses at that point.
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As you've said elsewhere - it's a legal requirement. That ought to be reason enough to ensure it happens, badly or otherwise you'd think. But the discussion still appears to be going on this much later, despite the court ruling. I'm genuinely surprised.
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I have been mostly told that it’s because of the fear of litigation because of the legal requirement.
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What is the nature of that fear Kate? Have people given specifics or is it just more general worries about being taken to court?
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Usually it’s losing their job.
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When the ruling first came out I was gobsmacked at outcry from some medical people. Some even crying ‘we will leave everyone for inappropriate CPR’ Now, my simple mind always thought Dad’s case was about simply talking so I wanted to know why? so I asked. LOTS of doctors.>
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There were many answers: lack of time came near the top, lack of privacy, the failure doctors feel when they can’t save someone, fear of upsetting people (clinical heart failure is fine, a proper broken heart is harder to heal
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It’s what made me decide to speak to doctors/other clinicians to tell them why it would have been so important to mum and why it’s so important to other families. The human cost of a missed DNR conversation is our legacy, and I don’t want anyone else to have it.
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The reasons are real and need to be understood and addressed with training and mentoring and encouragement and yes, the reminder that it is a legal requirement. the ‘why’ it is a legal requirement I have found does focus people’s minds to get it right.
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