Top Tweets for #DNACPRtalktips
Ambulance staff aren't exempt,discuss with pt's Tell staff in your handover that pt would like to discuss DNACPR with doctor #DNACPRtalktips
[email protected] for more info @katemasters67 @ShaunLintern @uclh @philaberry @K_G_Spearpoint #DNACPRtalktips 😊 https://t.co/BHoNYmNcTp
@katemasters67 #DNACPRtalktips "we need to put a form in your notes to protect you from people trying to resuscitate you when we know it simply won't work"
Agreed @StchMed #DNACPRtalktips doesn't necessarily mean dying, treatment escalation plans (TEPs) are imperative @katemasters67 https://t.co/7z43QMf3jF
Talk in terms of dying in one manner and dying in another manner rather than the 'live or die, do you want CPR?' question #DNACPRtalktips
@katemasters67 Talk to and document the discussion on CPR with every patient you admit, then it can't be taboo #DNACPRtalktips
Fellow health professionals, this is so needed. Please add your #DNACPRtalktips below. https://t.co/HPcMabvQPY
If a patient does not wish to talk about DNACPR they don't have to. #DNACPRtalktips
@drandrewmackay Isn't this what the entire #DNACPRtalktips centres around? Avoiding severe and pointless suffering?
If you feel the person may die, talk about dying and remember CPR won't work in dying people. #DNACPRtalktips
Don't offer CPR if it has no realistic chance of success. #DNACPRtalktips
Don't talk about resuscitating someone as that implies it will work. We only ever attempt CPR uncertain whether it'll work. #DNACPRtalktips
Then talk about what you are going to do, not with what you are not going to do #DNACPRtalktips
Start with establishing what the person understands about what is happening to them and discuss current illness #DNACPRtalktips
Ask what the patient wants, you may be surprised at how much insight they have. #DNACPRtalktips
Be honest. #DNACPRtalktips
Sometimes can start by discussing other preferences.
Eg "have you told your GP you don't want any more hospital admissions?"
#DNACPRtalktips
If one person starts the conversation, it makes it much easier for others to continue it later....
#DNACPRtalktips
#DNACPRtalktips For GPs- before you add another medication on for another single-disease guideline...
It has to be part of a larger conversation about how they feel, what can be done and preferably not in a crisis. #DNACPRtalktips
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