@C7RKY @ResusCouncilUK Procedure is the wrong word. This is about escalation of treatment including where that treatment occurs
@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. -
@C7RKY@ResusCouncilUK Understanding can be a difficult goal as in this context will involve loss and grief. Agreement might be best you get -
@JFr4ser@ResusCouncilUK Depends on the pt. Personally, I want to know *everything*. And I get very upset if I find something was missed out - 2 more replies
New conversation -
-
-
@C7RKY@ResusCouncilUK A calm discussion with GP can go through benefits/drawbacks of treatment but in acute situation can change their mind -
@JFr4ser@ResusCouncilUK As is their right. I understand that. -
@C7RKY@ResusCouncilUK Yes to an extent. If ventilation agreed not appropriate when well and calm still not appropriate when frightened. -
@JFr4ser@ResusCouncilUK Pt's right to change their mind is always their own. Though they can't demand inappropriate treatment, I appreciate -
@C7RKY@ResusCouncilUK It is. Within the context of inappropriate treatment. Acuity/fear influence decision making tho,not always as expect -
@JFr4ser@ResusCouncilUK Again... I can understand that. Fear can make people behave in unusual ways & may influence decisions.
End of conversation
New conversation -
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.