Tick - but everyone who looks at it, sees the same problem: reaching an effective solution, is much more difficult, based on 'the problem continuing to exist'.https://twitter.com/C7RKY/status/953994774834483200 …
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Replying to @MikeStone2_EoL
It needs an amnesty, or some such watershed moment. I fear the true picture of harm & avoidable deaths is likely much worse than the controlled glimpse we are permitted currently. Even an amnesty may hold too much fear for some. Fear of public reaction to the true picture.
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Replying to @C7RKY
'avoidable deaths' is a complex concept, hidden behind an apparently clear term: mind you, 'shared decision making' is much worse http://www.bmj.com/content/349/bmj.g4855/rr/761712 … See also http://www.bmj.com/content/355/bmj.i6165/rr …pic.twitter.com/atTXH62H2P
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Replying to @MikeStone2_EoL
The one clear thing about the phrase 'shared decision making' for me, is how clearly wrong it is. The ONLY one making this decision will be me, as a pt with capacity. And the only thing being shared will be the information the clinician is providing to help me decide.
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Replying to @C7RKY
Shared Decision Making doesn't describe Informed Consent (which is Supported Decision Making). It doesn't describe MCA best-interests decision-making either (unless there are several welfare attorneys whose powers are 'joint'). https://www.dignityincare.org.uk/Discuss-and-debate/Dignity-Champions-forum/Patient-Centred-Care/869/ … Cliniicans LOVE 'shared DM'.
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Replying to @MikeStone2_EoL
Aah, ok. That makes me feel marginally better to hear the 'supported decision making' phrase alongside it. Your writings on best interest decision making is v interesting for me. I have POA in place for my relative now, but hadn't appreciated the significance of that terminology.
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Replying to @C7RKY
Sadly, it isn't 'alongside'. Whereas the Royal College of Surgeons (England) avoided the use of shared decision making in its recent consent guidance, using supported decision making instead, most clinicians bandy about 'shared decision making' as it if means something!
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Hmmm. I'm glad to have become aware of this now, before the public consultation opens on GMC's review of consent guidelines - which I've had to wait 4 years for. I can see value in making efforts to ensure that phrase does not make an appearance.https://www.gmc-uk.org/guidance/news_consultation/30001.asp …
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