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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
      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
    2. 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
    3. 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
    4. 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
    5. j hartin‏ @jhartin Jul 9
      Replying to @C7RKY @RumersRainbow and

      Psychology / emotion / the things that make us human

      1 reply 0 retweets 2 likes
    6. 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
    7. 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
    8. Kate Masters‏ @katemasters67 Jul 9
      Replying to @jhartin @C7RKY and

      He would, more than most.

      1 reply 0 retweets 1 like
    9. John Clarke‏ @C7RKY Jul 9
      Replying to @katemasters67 @jhartin and

      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.

      1 reply 1 retweet 2 likes
    10. Kate Masters‏ @katemasters67 Jul 9
      Replying to @C7RKY @jhartin and

      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.

      1 reply 1 retweet 0 likes
      John Clarke‏ @C7RKY Jul 9
      Replying to @katemasters67 @jhartin and

      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.

      11:37 AM - 9 Jul 2018
      • 1 Retweet
      • 2 Likes
      • MonroW noreen boland
      1 reply 1 retweet 2 likes
        1. New conversation
        2. Kate Masters‏ @katemasters67 Jul 9
          Replying to @C7RKY @jhartin and

          I have been mostly told that it’s because of the fear of litigation because of the legal requirement.

          1 reply 1 retweet 1 like
        3. Stephen Evans‏ @Stephenpublic17 Jul 9
          Replying to @katemasters67 @C7RKY and

          What is the nature of that fear Kate? Have people given specifics or is it just more general worries about being taken to court?

          1 reply 0 retweets 0 likes
        4. Kate Masters‏ @katemasters67 Jul 9
          Replying to @Stephenpublic17 @C7RKY and

          Usually it’s losing their job.

          1 reply 0 retweets 0 likes
        5. Stephen Evans‏ @Stephenpublic17 Jul 9
          Replying to @katemasters67 @C7RKY and

          But for what: not having the converdation; having it or having it badly? Or for deciding not to offer CPR?

          1 reply 0 retweets 0 likes
        6. Kate Masters‏ @katemasters67 Jul 9
          Replying to @Stephenpublic17 @C7RKY and

          The impression I get is the ‘doing it and getting it wrong’ scenario causing complaint. Weird isn’t it? The legal requirement is to discuss,it’s the non discussion that may end up in court. Poor discussion is (should be) a learning issue.

          1 reply 0 retweets 0 likes
        7. Stephen Evans‏ @Stephenpublic17 Jul 9
          Replying to @katemasters67 @C7RKY and

          Thanks Kate. Looked at rest of this discussion with interest. I still come back to: education for clinicians and public; starting the conversation earlier. For where we are now liked the practical and sensitive approach by @elinlowri , as usual

          1 reply 0 retweets 3 likes
        8. Kate Masters‏ @katemasters67 Jul 9
          Replying to @Stephenpublic17 @C7RKY and

          Elin is an inspiration. 🌟 If I can pull and energy from my boots, Education for patients is top of my list.

          0 replies 0 retweets 1 like
        9. End of conversation

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