@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?
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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.
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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 -
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,
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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'?
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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.
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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'.
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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.
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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)?
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