, 7 tweets, 4 min read Read on Twitter
Underlying values of client, client support network and clinician | #ESKDethics #ISNWCN
Decision making are in the social-cultural-values based context
Very elderly are discussednow by Dr Kathryn Ducharlet| advanced discussions need to occur early. Tensions of cultural-cognitive-religion. Informed consent; burden of treatment for the patient| #ESKDethics #ISNWCN
Complex bereavement after a sudden death; how the final days of life are experienced; moral distress of clinicians, who sustain chosen care plan due to external factors. | #ESKDethics #ISNWCN
Moral distress risk in health care workers in #ESKDethics #ISNWCN | acknowledge, evidence, ethical practice issues, professional courage
Moral distress occurs and amplified when the systems of care don’t meet the clinical need-integrated care, resourcing, specifically supporting effective discussions abt #ESKD care and timing to withdraw care.
Courage to start and courage to stop. If we provide care, we have to have systems to support end of life care and withdrawing care. How much benefit for patient and family and service from very late advanced care limit decisions| #ESKDethics #ISNWCN
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