@C7RKY @ResusCouncilUK Yes. I say to the patient Id like to swap your face mask for ... Because.... They agree which is consent.
@JFr4ser @ResusCouncilUK There are thousands of evidence based treatments available. But nobody gets to do ANY of them without pt's consent.
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@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 -
@C7RKY@ResusCouncilUK Limits of human behaviour, memory, priorities. No two conversations will be the same -
@JFr4ser@ResusCouncilUK Naturally. And if we're truly going to claim the NHS is pt-centred, it's right that each conversation is different.
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@C7RKY@ResusCouncilUK In any clinical situation regardless of expected outcome only what's recognised treatment is offered. -
@JFr4ser@ResusCouncilUK Appreciated. But what's deemed 'of overall benefit to pt' may not be what pt chooses to do. Recognised or o/wise. -
@C7RKY@ResusCouncilUK Patients can only chose less rather than more. No one will deliver more even if they want it. Not ethical. No pathway -
@JFr4ser@ResusCouncilUK Assuming opinions don't vary, of course. Which they have been known to do... -
@C7RKY@ResusCouncilUK < there are guidelines to follow and explain if deviated from -
@JFr4ser@ResusCouncilUK Yeah... I get the theory. But also have contradictory practical experience. Hence interest:https://twitter.com/shaunlintern/status/600735704101031936 …
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@C7RKY@ResusCouncilUK I imagine some of those reasons are why these forms are being developed and topic examined closely -
@JFr4ser@ResusCouncilUK No actually. That 'improvement' is entirely down to@katemasters67 & her family. My sights are set on consent forms - 1 more reply
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