@ccpractitioner @learnhospice @K_G_Spearpoint @DrUmeshPrabhu @elinlowri @jmcefalas @C7RKY I feel a piece of writing coming on.
@doctorcaldwell @katemasters67 @elinlowri I'm sure it's possible to guess. But let's not kid ourselves that it's anything more than a guess.
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@C7RKY@katemasters67@elinlowri no profession ever gets everything 100% correct but expertise from years of experience helps. -
@doctorcaldwell@katemasters67@elinlowri This is where you'll find resistance from pts tho.Where tired docs can end your life in a decision -
@C7RKY@katemasters67@elinlowri I work in patient safety too. Sadly many more life threatening Human Errors than misjudgements about dying -
@doctorcaldwell@katemasters67@elinlowri Unf, I'm familiar w/ errors. I accept error/risk, but not if I didn't consent another's judgement -
@C7RKY Trust is the essential foundation of clinical care. You have to find a clinical team you can trust. -
@doctorcaldwell Interesting point. I'll be honest, I'll never trust a doctor 'by default' ever again. Never. Where does that leave me? -
@C7RKY@doctorcaldwell NHS must listen to that,respect it & make changes to a system that is eroding trust in MDs.W/trust>zero med.system~ -
@nxtstop1@doctorcaldwell Thanks. That's my reality I'm afraid. Now I seek ways to reassure myself without relying upon trust. Little option - 5 more replies
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@C7RKY@doctorcaldwell@elinlowri >of a man who had spent 5 days on LCP without family knowing. This happened on same ward as DNACPR case. -
@katemasters67@C7RKY@elinlowri patient & family need to know patient is imminently dying. My paper was about those likely to go home. -
@doctorcaldwell@C7RKY@elinlowri I thought your scenario was a guy admitted from care home middle of night close to death? -
@katemasters67@C7RKY@elinlowri dilemma is reassuring frail patient he's going to get better and go home and having to have CPR talk -
@doctorcaldwell@C7RKY@elinlowri do DNACPR notices transfer from one setting to another? I do understand it must be a tough discussion. -
@doctorcaldwell@C7RKY@elinlowri >>you would be unlikely to survive' -
@katemasters67@C7RKY@elinlowri thanks Kate that's really helpful to me .. -
@doctorcaldwell@C7RKY@elinlowri you could also ask how much someone wants to be informed about that decision, separate it from others
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@C7RKY@doctorcaldwell@elinlowri >they can always be sure of is that they will be wrong. He was speaking about a claim from a family >)Thanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY@doctorcaldwell@elinlowri local CEO said on TV when he trains students he always tells them that when predicting death one thing >Thanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY@katemasters67@elinlowri in general my profession is far more guilty of too much intervention in frail dying than too littleThanks. Twitter will use this to make your timeline better. UndoUndo
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