@C7RKY @ResusCouncilUK yeah like non-invasive ventilation in an HDU but not ventilation or CPR. Ceilings of care appropriate to pt
@JFr4ser @jim_crawfurd @katemasters67 @ResusCouncilUK Yes, but some of us have learned to consider unintended consequences up front nowadays
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@C7RKY@JFr4ser@katemasters67@ResusCouncilUK This EPCT form makes it pretty clear that it does not replace consent etc 1/3 -
@C7RKY@JFr4ser@katemasters67@ResusCouncilUK 2/3 Very hard for any advanced decision to cover ever possible treatment option/context -
@jim_crawfurd@C7RKY@JFr4ser@katemasters67@ResusCouncilUK I will post mine as an example later. Perhaps it will say something different. -
@retiredbrain@jim_crawfurd@C7RKY@JFr4ser ADRT is signed by you and witnessed, ECTP is only signed by doctor -
@katemasters67@jim_crawfurd@C7RKY@JFr4ser yes I know, I have challenged & Hv my own AD which overrides as you know. -
@retiredbrain@jim_crawfurd@C7RKY@JFr4ser that's the best way record your wishes.. -
@katemasters67@retiredbrain@C7RKY@JFr4ser Would patient signature make all the difference for those who are sceptical? -
@jim_crawfurd@katemasters67@retiredbrain@JFr4ser Personally, yes. It shows pt at least had chance of awareness, tho sig is no guarantee > - 3 more replies
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@C7RKY@JFr4ser@katemasters67@ResusCouncilUK 3/3 so from consent perspective see it as an "if I am unable to consent" form -
@jim_crawfurd@C7RKY it considers treatments that will be provided, and is intended for use when the patient can consent. -
@katemasters67@C7RKY Not convinced: Opening sentence of patient info leaflet "...if you are unable to make those choices at the time" -
@jim_crawfurd@C7RKY so what do you think the form is for? An ADRT? A treatment plan? -
@katemasters67@C7RKY Key thing is that it is only a guide. If patient has capacity then need to talk to patient NOW, not just follow form
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