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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. Mike Stone‏ @MikeStone2_EoL Jan 12

      @C7RKY I think it was you who was reading my criticisms of ReSPECT? If it was you, and if you've looked - who do you think is right, ReSPECT or me?

      1 reply 0 retweets 1 like
      John Clarke‏ @C7RKY Jan 12
      Replying to @MikeStone2_EoL

      It was me. And I still have multiple pages open on my laptop on the subject. Want a 2nd read. Consent is a huge soapbox subject for me anyway, so I'm inclined to side with you. I think you're right to focus on the form too - that will drive behaviours as much as any other factor.

      4:36 AM - 12 Jan 2018
      2 replies 0 retweets 0 likes
        1. New conversation
        2. Mike Stone‏ @MikeStone2_EoL Jan 12
          Replying to @C7RKY

          I'm very keen on 'getting the forms legally correct' because I feel sure that many healthcare professionals 'take their legal understanding' from the 'implications of the form'. Especially when there isn't much time for training - such as now! @DrMarkTaubert doesn't quite agree.

          2 replies 2 retweets 1 like
        3. John Clarke‏ @C7RKY Jan 12
          Replying to @MikeStone2_EoL @DrMarkTaubert

          John Clarke Retweeted Shaun Lintern

          For different reasons, you and I have a shared desire to ensure that a consent form is designed in such a way as to provoke the right behaviours in clinicians: https://twitter.com/ShaunLintern/status/600735704101031936 … So what's @DrMarkTaubert's position on this issue then?

          John Clarke added,

          Shaun Lintern @ShaunLintern
          Fears emerge over abuse of patient consent process. Read both parts of my investigation for HSJ here: pic.twitter.com/s87N6DKVl3
          1 reply 0 retweets 0 likes
        4. Mike Stone‏ @MikeStone2_EoL Jan 13
          Replying to @C7RKY @DrMarkTaubert

          Actually I'm more interested in records of conversations and decisions (especially best-interests decisions) during end-of-life (especially if patient is at home) being signed-off from 'all sides' - not so much 'normal consent forms'. What are our 'different reasons'?

          1 reply 0 retweets 1 like
        5. John Clarke‏ @C7RKY Jan 13
          Replying to @MikeStone2_EoL @DrMarkTaubert

          I think your tweet demonstrates our different reasons pretty well actually. But we both want the patient's wishes accurately recorded and respected. Just in different scenarios.

          1 reply 0 retweets 0 likes
        6. Mike Stone‏ @MikeStone2_EoL Jan 13
          Replying to @C7RKY @DrMarkTaubert

          I'm not at all clear about your reasons - basically, 'I'm very strong on patient self-determination and on properly-performed best-interests decision making if the patient isn't capacitous'.

          1 reply 0 retweets 1 like
        7. John Clarke‏ @C7RKY Jan 13
          Replying to @MikeStone2_EoL @DrMarkTaubert

          And yours is an honourable pursuit. My interest is in ensuring that those who ARE capacitous, have their consent decisions respected. In particular, I am trying to tighten the consent form design to help prevent fraudulent amendment of its contents after the fact.

          1 reply 1 retweet 0 likes
        8. Mike Stone‏ @MikeStone2_EoL Jan 13
          Replying to @C7RKY @DrMarkTaubert

          I do 'capacitous' - but in the context of having Advance Decisons (which are refusals of treatment) respected by clinicians, especially by 999. Your issue seems to partly involve consent forms being looked at retrospectively (for example, after a death during an operation)?

          0 replies 0 retweets 1 like
        9. End of conversation
        1. New conversation
        2. Kara‏ @KaraChrome Jan 12
          Replying to @C7RKY @MikeStone2_EoL

          Mind you, when the consent form is divided into two parts - 'HCP' & 'patient' - the HCP fills out what he thinks the patient's answers 'should' be before handing the form to the patient, & senior management seem to think that's AOK, what hope is there? https://whobyf1re.wordpress.com/2014/06/16/the-conference/ …pic.twitter.com/65WmgUpAlX

          1 reply 1 retweet 1 like
        3. John Clarke‏ @C7RKY Jan 12
          Replying to @KaraChrome @MikeStone2_EoL

          I can tell from the quality of your blog that you'll already realise this, but the consent form is recognised as being a record of a conversation. A conversation that is required in order for consent to be valid. It's pretty hard to document a conversation you haven't had yet!!

          1 reply 1 retweet 1 like
        4. Mike Stone‏ @MikeStone2_EoL Jan 13
          Replying to @C7RKY @KaraChrome

          I'm a bit confused by this consent form discussion [I've never signed a consent form]. Can someone tweet an image of an actual consent form, or post a URL to an actual form, so that I can try and see what is being discussed? Seemed to be a URL to an article?

          1 reply 0 retweets 1 like
        5. Kara‏ @KaraChrome Jan 13
          Replying to @MikeStone2_EoL @C7RKY

          I think they vary depending on place & procedure. There's usually quite a lot of small print on them (read & strike out/initial anything you don't agree to) & fair bit of white space for HCP to write in (cross through blank space before signing).

          2 replies 1 retweet 1 like
        6. Mike Stone‏ @MikeStone2_EoL Jan 13
          Replying to @KaraChrome @C7RKY

          Well - can someone post a real form, which they have an objection to? Not what has been written on a consent form - the blank form itself.

          0 replies 0 retweets 0 likes
        7. End of conversation

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