@katemasters67 Got it! Making frail elderly person "not for cardiac compressions" is act of Intelligent Kindness respecting Hippocratic Oath
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@C7RKY@katemasters67 IMO Doctors should never "write off a patient" its an obnoxious thought to me. -
@doctorcaldwell@C7RKY@katemasters67 Yes! Phrase Has No Place In Realm of Healthcare. Compassionate Care Has Many Faces >>that's not one. -
@nxtstop1@katemasters67 Sorry@doctorcaldwell, I missed this tweet from you 1st time around. Agree of course, but that's the source of fear -
@C7RKY@katemasters67@doctorcaldwell I gotcha~ We were misunderstanding you >>referring to how the patient felt ~. We're same page. :)
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@C7RKY@katemasters67 its misunderstandings about connotations of DNACPR cause the confusion. IMO a DNACPR is designed to protect a patientThanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY@katemasters67 https://www.dropbox.com/s/epqc0pmgc7znsfu/What%20treatment%20a%20DNACPR%20agreement%20bars%20a%20patient%20from.doc … DNACPR reduces treatment options by only one treatment. -
@doctorcaldwell@katemasters67 Yes, but that 1 treatment option is the difference between life & death. Having such a decision made on your> -
@doctorcaldwell@katemasters67 >behalf by someone who's 'opinion' is that you're dying, must be open to challenge though, surely? That's all -
@C7RKY@katemasters67 in NHS I believe everyone always entitled to a 2nd opinion. I never have problem if patient wants 2nd opinion.
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@C7RKY@doctorcaldwell life saving in limited circumstances but without it, you are definitely dead! >> -
@katemasters67@doctorcaldwell CPR's our final safety net. One that may be needed for many reasons. Hence why predicting EOL draws challenge -
@C7RKY@katemasters67 John wish I could bring you to the bedsides of our lovely frail elderly inpatients. Then you could see with your eyes. -
@doctorcaldwell@katemasters67 I don't dispute there are numerous cases for whom a DNACPR is right Gordon. It's how to convince pt vs avoid? -
@C7RKY@katemasters67 many pts relieved to know near EoL. "Its been good, I'm ready now, I want to die at home" (where no CPR possible!)
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@C7RKY@doctorcaldwell quality of life and best interests I think they call it. Can't be decided without discussion. -
@katemasters67@doctorcaldwell Quality of life is relative to the individual. Hence why consent 'rules' say pt's decision needn't make sense -
@C7RKY@doctorcaldwell so says Lady Hale,. End of para 50. http://www.judiciary.gov.uk/wp-content/uploads/2014/06/tracey-approved.pdf … -
@katemasters67@doctorcaldwell "It is for pt & not others to say that a life which the pt would regard as worthwhile is not worth living" -
@C7RKY@katemasters67 CPR is only started once the patient's heart has stopped Can it be restarted? Not if the cause was death of whole body
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@C7RKY@doctorcaldwell >relative arrived, was told of DNR and said they had sleep apnoea! >>Thanks. Twitter will use this to make your timeline better. UndoUndo
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