can’t keep bouncing this all back at society. Some doctors have very strange views about DNACPR. (They’ve told me) When I had my second DNACPR chat in 2015 my first question was ‘are you still going to treat them?’ - I was worried not all the team were of that thinking.
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Legally, it's battery (E&W) to administer any treatment that a person has refused when competent, including failure to respect an ADRT. Of course, this assumes there's a way to ensure ADRT is known about to be respected.
@TorButlerCole can clarify with more knowledge & eloquence. -
You're right - but there is a real practical problem in making sure the right people know about the DNACPR order or ADRT, particularly in an emergency. Not having systems in place to facilitate sharing of and access to these documents might be unlawful itself.
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Interesting. Is that to suggest that having such a system in place could be considered necessary in order to comply with a duty of care?
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I was thinking of positive obligations under the Human Rights Act to ensure people's wishes about end of life care are respected
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But there might also be other ways of arguing it....
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Thank you...
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Fascinating! And potentially highly motivating...
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Isn't it just?
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See https://www.bmj.com/content/352/bmj.i26/rr-2 … - what do they shout out at Pantos? Something like 'you're behind me'? See also pages 31/32 in my PDF at https://www.dignityincare.org.uk/Discuss-and-debate/download/317/ … - that (nurses will ignore 'don't try CPR' when you are in hospital') is MUCH WORSE than the 'collapse in a street' issue!pic.twitter.com/42gBkkXeN5
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I can see the nurses'point of view. Needs a change from their regulatory body
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Patient advocacy is a core nursing value. Nurses are trained, competent & autonomous clinicians. They often know their ward-based or community patients better than the doctors available in a crisis. It's time their regulator enabled nurse's capabilities & responsibilities.
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The Nurse can only be Patient’s Advocate if 1 She is there 2 Invited to contribute or very assertive The bureaucracy of care means nurses often cannot be present during Daily Review of Progress on
#WardRounds https://www.dropbox.com/s/bqgq2pqefpxbsmj/Table%202009%20to%202017.png?dl=0 …@WestM61@DacreJane@DrGrumble -
Are we staffing for holistic care, or only for safe custodianship? Worrying data.
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We are not reaching levels for holistic care ...
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I think there’s something called a Good Samaritan law that protects the public, not so sure about medics..probably falls under the wide ranging guidance there is about emergency situations and protecting life. There’s also ‘acting in good faith’ to cover most things.
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Good Samaritan Law is USA and very sensible - if you are a clinician you must stop to help eg at an accident but you are protected against being sued if your help goes wrong
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