NEW PAPER: Nursing is NOT a set of tasks.
Our theoretical proposition elucidates the complexity of daily work.
Understanding the complexity and interconnectednes of nursing care (and expertise needed) reveals the risks of staffing by task allocation https://t.co/yxrfRujjX8
Any UK doctors or other healthcare professionals who are willing to be part of a movement resisting euthanasia, please comment here or inbox me
We will be doing everything we can to stop this over the next few months
Please like and RT even if you are not in healthcare!
In 40 years as a palliative care nurse, my wife has never seen a patient die in agony. Always it has been possible to control their pain. Sometimes, it has taken a while to get the drugs right. But that has always been achieved.
🚨DR UK's Statement on Passing of Assisted Dying Bill
We stand firmly against a law that risks pressuring Disabled people into decisions driven by lack of options rather than genuine choice. This bill could reinforce the narrative that Disabled people’s lives are less valuable.
@sugarplumNat It's unlikely to be 'purely a management issue' - at heart it's a political issue - managers and clinicians are both doing the best they can with the limited resources they have.
Some time in 2025 after the Assisted Dying vote:
Mabel is too frail to return home from hospital, but has no acute medical problem after her UTI was treated for 3 days. She has been sitting in a hospital bed for 5 weeks waiting for a care home placement. She feels awful about taking up a bed.
The hospital is under immense and all too familiar pressures, just like in 2024. Patients line corridors. Ambulances queue for hours to offload patients to A&E. Every bed is precious.
But there are so many Mabels.
After the third discharge plan for Mabel has failed, a manager asks the ward doctor: "How frail is Mabel? Is she in the last 6 months of life?"
"Possibly..."
"Has anyone spoken to her about all her options?"
"What do you mean?"
"Well, has anyone asked if she is suffering unbearably? It's important she knows all the options open to her. It's important she has real choice."
That's how this will go. Little conversations like this. Throughout the NHS. For every Mabel.
all I did was turn up. People far cleverer than I did the hard work. Far smarter than me made it happen.
I tell you so that you know the NHS is alive and well https://t.co/jmT5yrecUk
As we await the publication of the Assisted Dying Bill, I would like to make the case that the guillotine should be considered as the most effective and humane method of helping our patients.
Please bear with me...🧵
The NHS may be broken, according to @UKLabour@wesstreeting, but here’s how to fix it.
Prevention, Prevention, Prevention, Prevention….
1. Prevent poverty. It’s the single biggest determinant of ill health, and health and social care demand, both now and in the future. Blair and Brown made good progress in reducing it. So it can be done.
2. Prevent illness, with a relentless focus on living well, self-care, mental health support and tackling the commercial determinants of illness. Dental disease is the commonest cause of childhood operations, and yet it’s almost 100% preventable.
3. Prevent existing risks and diseases getting worse, with evidence-based screening and a substantial shift in resources to primary, community and social care
4. Preventing waste and medical harm, by ensuring patients receive the right care, in the right place, from the right people at the right time. This is the toughest nut to crack, as it requires adequate numbers of well trained and well rested staff working in safe, clean environments with the right equipment. We currently spent three times as much litigating harms from maternity care than we do on maternity care. This is a permanent disaster and would be a very good place to start. Instead of repeating our mistakes, we need to learn from them.
For more detail see @PrivateEyeNews and come to the shows @edfringe@theSpaceUK Aug 2-17
https://t.co/CGMa3R91W3
https://t.co/q982NBcjF6