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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. Kate Masters‏ @katemasters67 Sep 8
      Replying to @drkathrynmannix @doctorcaldwell and

      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.

      1 reply 0 retweets 3 likes
    2. Kate Masters‏ @katemasters67 Sep 8
      Replying to @katemasters67 @drkathrynmannix and

      ReSPECT - how is that going? Where is it wven being used? There’s been no publicly available updates. (I was being kept up to date-ish and was asked to take part in education on ReSPECT, too ill to do it)

      2 replies 1 retweet 2 likes
    3. Dr Gordon Caldwell‏ @doctorcaldwell Sep 8
      Replying to @katemasters67 @drkathrynmannix and

      Respect form says something uselessly vague like ‘Plans for a Future Emergency’ A fractured RIGHT wrist in a frail person living alone is a common emergency, is that what the form is for? Why not be frank ‘What I want done if I am found dying’ @DrMarkTaubert @hospicedoctor

      5 replies 2 retweets 9 likes
    4. Dr Gordon Caldwell‏ @doctorcaldwell Sep 9
      Replying to @doctorcaldwell @katemasters67 and

      It’s such a relief to get support from you bright intelligent compassionate human beings. Sometimes I wonder if it is me lost my reason and that @ResusCouncilUK @gmcuk @nmcnews have everything correct balanced human and sensible about End of Life & Dying I do try to Respect them

      1 reply 0 retweets 6 likes
    5. Jennifer Richards‏ @Jennife10651535 Sep 9
      Replying to @doctorcaldwell @katemasters67 and

      Yes,I completely agree that I want something along those lines. Having had a conversation with GP about DNACPR this week I realize the acute limitations this imposes

      1 reply 0 retweets 1 like
    6. Kate Masters‏ @katemasters67 Sep 9
      Replying to @Jennife10651535 @doctorcaldwell and

      What kind of limitations?

      1 reply 0 retweets 1 like
    7. Jennifer Richards‏ @Jennife10651535 Sep 9
      Replying to @katemasters67 @doctorcaldwell and

      That a DNACPR made in a GP's surgery won't be available to EM medics

      3 replies 1 retweet 1 like
    8. Kate Masters‏ @katemasters67 Sep 9
      Replying to @Jennife10651535 @doctorcaldwell and

      Yes that’s a major problem. The patient has to own this process, making sure that it’s available to anyone who may need it. Most common place for them to look is the fridge. @lionsclubs do have schemes ‘message in a bottle’ in some areas.

      3 replies 0 retweets 2 likes
    9. Jennifer Richards‏ @Jennife10651535 Sep 9
      Replying to @katemasters67 @doctorcaldwell and

      Still needs modification if collapse is outside the home

      1 reply 0 retweets 0 likes
    10. Kate Masters‏ @katemasters67 Sep 9
      Replying to @Jennife10651535 @doctorcaldwell and

      Gordon’s been suggesting a medic alert style bracelet for a while.. it is very wrong that the concentration is on saving life re CPR, not protecting people who should not receive it. Even kids are being taught CPR (but not when not to use it)

      2 replies 3 retweets 5 likes
      John Clarke‏ @C7RKY Sep 9
      Replying to @katemasters67 @Jennife10651535 and

      How long before somebody takes a paramedic (or even a schoolchild now) to court for assault? Is there not an argument that once formally refused, CPR should be treated like any other unconsented medical procedure? It's at least a variation on a theme.

      3:12 AM - 9 Sep 2018
      • 3 Likes
      • Shirley Pearce Kara Jennifer Richards
      3 replies 0 retweets 3 likes
        1. New conversation
        2. Kathryn Mannix‏ @drkathrynmannix Sep 9
          Replying to @C7RKY @katemasters67 and

          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.

          2 replies 1 retweet 3 likes
        3. Tor Butler-Cole‏ @TorButlerCole Sep 9
          Replying to @drkathrynmannix @C7RKY and

          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.

          2 replies 2 retweets 4 likes
        4. John Clarke‏ @C7RKY Sep 9
          Replying to @TorButlerCole @drkathrynmannix and

          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?

          1 reply 0 retweets 1 like
        5. Tor Butler-Cole‏ @TorButlerCole Sep 9
          Replying to @C7RKY @drkathrynmannix and

          I was thinking of positive obligations under the Human Rights Act to ensure people's wishes about end of life care are respected

          2 replies 2 retweets 3 likes
        6. Tor Butler-Cole‏ @TorButlerCole Sep 9
          Replying to @TorButlerCole @C7RKY and

          But there might also be other ways of arguing it....

          1 reply 1 retweet 1 like
        7. John Clarke‏ @C7RKY Sep 9
          Replying to @TorButlerCole @drkathrynmannix and

          Thank you...

          1 reply 0 retweets 2 likes
        8. Kathryn Mannix‏ @drkathrynmannix Sep 9
          Replying to @C7RKY @TorButlerCole and

          Fascinating! And potentially highly motivating...

          1 reply 1 retweet 1 like
        9. John Clarke‏ @C7RKY Sep 9
          Replying to @drkathrynmannix @TorButlerCole and

          Isn't it just?

          0 replies 0 retweets 1 like
        10. End of conversation
        1. New conversation
        2. Mike Stone‏ @MikeStone2_EoL Sep 10
          Replying to @C7RKY @katemasters67 and

          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

          1 reply 0 retweets 0 likes
        3. Jennifer Richards‏ @Jennife10651535 Sep 10
          Replying to @MikeStone2_EoL @C7RKY and

          I can see the nurses'point of view. Needs a change from their regulatory body

          2 replies 0 retweets 0 likes
        4. Kathryn Mannix‏ @drkathrynmannix Sep 10
          Replying to @Jennife10651535 @MikeStone2_EoL and

          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.

          4 replies 2 retweets 4 likes
        5. Dr Gordon Caldwell‏ @doctorcaldwell Sep 10
          Replying to @drkathrynmannix @Jennife10651535 and

          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

          3 replies 0 retweets 2 likes
        6. Kathryn Mannix‏ @drkathrynmannix Sep 10
          Replying to @doctorcaldwell @Jennife10651535 and

          Are we staffing for holistic care, or only for safe custodianship? Worrying data.

          1 reply 0 retweets 0 likes
        7. Dr Gordon Caldwell‏ @doctorcaldwell Sep 10
          Replying to @drkathrynmannix @Jennife10651535 and

          We are not reaching levels for holistic care ...

          0 replies 1 retweet 0 likes
        8. End of conversation
        1. New conversation
        2. Kate Masters‏ @katemasters67 Sep 9
          Replying to @C7RKY @Jennife10651535 and

          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.

          2 replies 0 retweets 2 likes
        3. Dr Gordon Caldwell‏ @doctorcaldwell Sep 9
          Replying to @katemasters67 @C7RKY and

          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

          0 replies 0 retweets 1 like
        4. End of conversation

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