@C7RKY @GavinLarner @elinlowri I think Gavin was surprised today by the overall and individual frailty of our acute medical inpatients
@GavinLarner @doctorcaldwell @elinlowri Not sure I follow when you say 'it adds to the emotional burden of care' Gavin. How do you mean?
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@C7RKY@GavinLarner@elinlowri constantly making 6 DNACPR decisions a day after emotional discussions = emotional burden. Easy to harden. -
@doctorcaldwell@C7RKY@GavinLarner (Easier not to do it at all) -
@elinlowri@doctorcaldwell@GavinLarner Easier...but unlawful. I'm not sure the easy option is actually an option any more on this, is it? -
@C7RKY@doctorcaldwell@GavinLarner It's still an option to leave everyone for CPR and not to have a discussion at all. Legal but wrong. -
@elinlowri@doctorcaldwell@GavinLarner Oh, I see. Interesting/disturbing thought. But wouldn't doing so fly in the face of GMC guidelines? -
@C7RKY@elinlowri@GavinLarner what to do when ethically I believe the GMC guidance is seriously flawed? Open up to the public+Get thinking! -
@doctorcaldwell@elinlowri@GavinLarner And risk the wrath of GMC? Not many do. Guidelines only seem to be taken seriously if HCPs speak up. -
@C7RKY@elinlowri IMO GMC should be there to deal with criminal Doctors, support addicts etc and to promote excellence not name+shame 1/2
End of conversation
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@C7RKY@GavinLarner@doctorcaldwell For me 'here's a treatment you'll be fine' is far easier than 'I'm not sure how things will turn out' -
@elinlowri@GavinLarner@doctorcaldwell Ok. So is this the burden placed on the clinician we're talking about here then? - End of conversation
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