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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 20
      Replying to @billdossett @Mindyourownyo and

      1/2 ? I don't hunt for these figures - but I thought that most GPs 'spend' perhaps a few hundred pounds on end-of-life for each of their dying patients? If 500,000 Brits a year die, then at £10,000 each we would have £5bn a year being spent on just the final few weeks of life?

      2 replies 0 retweets 1 like
    2. Mike Stone‏ @MikeStone2_EoL Jan 20
      Replying to @billdossett @Mindyourownyo and

      Telegraph and Mail disliked and campaigned against the LCP - that isn't 'news'. There were problems with the LCP, and especially with how it was 'implemented' by some HCPs, in some places. But - we NEED decent EoL Care! The LCP was an attempt to provide that - even if it failed.

      2 replies 0 retweets 2 likes
    3. Mike Stone‏ @MikeStone2_EoL Jan 20
      Replying to @Mindyourownyo @billdossett and

      No pain relief, then? 'Perfectly naturally' doesn't mean 'well' and 'naturally occurring' doesn't mean 'not poisonous'. There is not much 'common sense' within NHS protocols - and 'we all have different versions re 'common sense''(i,e it often isn't 'common'!).

      2 replies 2 retweets 2 likes
    4. Mike Stone‏ @MikeStone2_EoL Jan 20
      Replying to @Mindyourownyo @billdossett and

      If the patient requests it, a dose which effectively relieves the pain: where on earth do you get 'a minimal dose of a gentle painkiller' from? Pain does not 'have to be relieved' - it should be the patient's decision if capacitous [and very complex to discuss if not capacitous!}

      1 reply 0 retweets 2 likes
    5. Mike Stone‏ @MikeStone2_EoL Jan 22
      Replying to @Mindyourownyo @billdossett and

      Yes, I think nurses in particular sometimes think that pain-relief/sedation can be administered without consent: the solution to most EoL problems, is to 'get ongoing consent' (or 'ongoing properly-applied MCA best-interests decision-making). 'given without consent' is ASSAULT!pic.twitter.com/RhHqiIyeir

      3 replies 4 retweets 3 likes
      John Clarke‏ @C7RKY Jan 22
      Replying to @MikeStone2_EoL @Mindyourownyo and

      "..what is the point of this blood sample..?" Or to put it another way; what is its purpose? Understanding the nature & purpose of any medical intervention is consent at its most base level. The line between assault & medicine. Concerning you needed to point it out. *sigh*

      3:32 AM - 22 Jan 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. Mike Stone‏ @MikeStone2_EoL Jan 22
          Replying to @C7RKY @Mindyourownyo and

          1/2 I honestly think, there is an issue: HCPs - especially I suspect nurses - tend to be focusing on 'the treatment pathway' and they don't think of 'ongoing consent for every individual 'action'' - but during EoL 'repeatedly checking for consent' would bring to light the 'this

          1 reply 1 retweet 2 likes
        3. Mike Stone‏ @MikeStone2_EoL Jan 22
          Replying to @MikeStone2_EoL @C7RKY and

          2/2 isn't helping the patient any more' factor @DrMarkTaubert @learnhospice However - it would also make working life harder for the HCPs, especially if the patient is incapacitous and it becomes 'best interests instead of consent'.

          1 reply 0 retweets 1 like
        4. John Clarke‏ @C7RKY Jan 22
          Replying to @MikeStone2_EoL @Mindyourownyo and

          Yes, I'm increasingly aware of the difficulty that any suggestion of a lack of capacity introduces into the mix. It wasn't an issue I faced, personally. But it can be hard enough to ensure autonomy is respected when that's not a consideration, so I appreciate your point.

          1 reply 0 retweets 1 like
        5. Mike Stone‏ @MikeStone2_EoL Jan 22
          Replying to @C7RKY @Mindyourownyo and

          Read my stuff even 'just a bit' and you couldn't fail to become aware of the problems which a lack of mental capacity brings with it!

          2 replies 3 retweets 6 likes
        6. John Clarke‏ @C7RKY Jan 22
          Replying to @MikeStone2_EoL @Mindyourownyo and

          I was vaguely aware of concerns while researching, but I was only too happy to skip extra research I didn't need. What I've read of yours so far has raised my awareness considerably. Just enough to help me understand the scale of my ignorance. Need to go back over what I skipped!

          0 replies 1 retweet 2 likes
        7. End of conversation

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