@C7RKY @ResusCouncilUK yeah like non-invasive ventilation in an HDU but not ventilation or CPR. Ceilings of care appropriate to pt
@JFr4ser @ResusCouncilUK They can only select from options they get told about though. What do you mean by 'I could refuse any of those'?
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@C7RKY@ResusCouncilUK You have the right to say no to anything offered. If I was so determined that I didn't want any treatment so be it -
@JFr4ser@ResusCouncilUK Got you. TY. Back to our earlier chat re only offereing perceived best option then? Pt must know options, to choose -
@C7RKY@ResusCouncilUK treatment offered is evidence based and along professional practice guidelines. Can't offer ineffective treatments -
@JFr4ser@ResusCouncilUK There are thousands of evidence based treatments available. But nobody gets to do ANY of them without pt's consent. -
@C7RKY@ResusCouncilUK And this is no different. Can I give you non-invasive ventilation - yes or no. Can I do laparotomy - yes or no -
@JFr4ser@ResusCouncilUK As I said, not my area. But 1st thoughts are: Risks? Alternatives? Consequences of doing nothing? Do opinions vary? -
@C7RKY@ResusCouncilUK A large part of medical expertise is understanding the balance of those risks in the clinical context of the pt -
@JFr4ser@ResusCouncilUK Agreed. And helping the pt understand that so they can make an informed choice, is a large part of pt consent too. - 4 more replies
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@C7RKY@JFr4ser@ResusCouncilUK my concern is interventions have to be explained to be refused, yet to give them doesn't need proper consent -
@C7RKY@JFr4ser@ResusCouncilUK how can you talk about an intervention without obtaining consent? -
@C7RKY@JFr4ser@ResusCouncilUK and on ECTP how can clinician tick the 'I want to get well and have all treatments' without gaining consent? -
@katemasters67@JFr4ser@ResusCouncilUK There is reference to documentation held elsewhere, but I fear this form being given undue weight.
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@C7RKY@ResusCouncilUK Because nothing else is on the table. If you come in with a chest infection no one will offer a lung lobectomy.Thanks. Twitter will use this to make your timeline better. UndoUndo
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