Should we Twitter Poll this? Would family carers during end-of-life, prefer to know who was going to answer their phone call, when they make the call?
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Replying to @MikeStone2_EoL @drkathrynmannix and
The 'cover GP' at my mother's surgery clearly did NOT already understand what my mother's wishes were. When I called after my mother had a stroke, this (unknown) GP attempted to persuade/coerce me to calling an ambulance + was hostile+unsupportive when I said she didn't want one
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Replying to @KitzingerCelia @drkathrynmannix and
Why would a cover GP understand what your mother's 'wishes' were? Why would ANYONE who had not either asked your mum, or 'shared her life', understand 'her wishes'?
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Replying to @MikeStone2_EoL @drkathrynmannix and
Because she had an Advance Decision to refuse treatment which she'd discussed (and had countersigned) by her own GP - I expected cover GPs (and everyone else in the practice) to have access to this.
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Replying to @KitzingerCelia @drkathrynmannix and
Access to doesn't mean already familiar with - and GPs are 'busy'. There is a paradox there - https://www.bmj.com/content/355/bmj.i5705/rr-15 … GPs don't have the time to get to know patients as is often implied. BTW - you should know better - an ADRT is her DECISION, so not 'her wishes'!
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Replying to @MikeStone2_EoL @drkathrynmannix and
Uhm, well, actually her ADRT purported to refuse admission to hospital - which you can't use an ADRT to do (because admission to hospital is not classed as a 'treatment') so I think her "wishes". Legally binding decisions were also in the ADRT but this wasn't one of them.
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Replying to @KitzingerCelia @MikeStone2_EoL and
You can't? I didn't know that. Does an admission to hospital not come under the heading of examination? As in 'consent to examination or treatment'. We have the right to refuse both with capacity, so is an ADRT unable to reflect that fact?
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Replying to @C7RKY @KitzingerCelia and
I've done it John (probably won't surprise you) - read https://www.dignityincare.org.uk/Discuss-and-debate/download/297/ …
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Replying to @MikeStone2_EoL @KitzingerCelia and
This rabbit hole seems to have endless capacity for tumbling down, doesn't it? Your focus still appears to be on treatment refusal there though. Is examination refusal not recognised in this regard?
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Replying to @C7RKY @MikeStone2_EoL and
I may be in danger of applying oversimplification of complex legal issues here, but there is no point in hospital exam/assessment if intention is to refuse hospital treatment/admission. Assessment and treatment at home, within the constraints of this, may still be acceptable.
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Yes, I'm wary of half dipping into legal discussions too, but common sense also has its place. Medical futility is something we hear plenty about, but few things seem more futile than taking a dying person to hospital if they don't want to be treated. Nature: Ambulance Purpose: ?
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