We just had a caller from the South West saying her elderly neighbour who lives alone and is self isolating has been called by her GP practice asking to sign and return a #DNACPR form. Very little explanation or kindness by the sounds of it. (2/16)
The neighbour, who regularly phones to check in on this lady, says she has been really shaken by this when she is already suffering with loneliness worsened by the isolation. (3/16)
We tried to explain that the issue here was the delivery of the information (or lack of) and not necessarily the decision itself. But very poor insensitive communication like this understandably leaves some people feeling disposable. (4/16)
As @ShaunLintern writes in this excellent article “scandal and furore over the use and misuse of #DNAR is nothing new”.
What coronavirus has done is shine a spotlight on the gulf in understanding between people and medics when it comes to #DNACPR (5/16) independent.co.uk/news/health/co…
What coronavirus has done is shine a spotlight on the gulf in understanding between people and medics when it comes to #DNACPR (5/16) independent.co.uk/news/health/co…
What the above experience highlights, is that it's not a problem with #DNACPR as a process to enable a good, peaceful and appropriate death - it is how you communicate this. (6/16)
In fact many Drs have come out to defend it as a compassionate, and entirely appropriate thing for many people. They should rightly be defended, appreciated and lauded for taking the time (especially now) to clear up the confusion. (7/16)
Thanks @sefkhet
Thanks @sefkhet
One more here, thanks @andymoz78. (8/16)
Let’s also not forget Drs are human, and many have personal experience of these issues themselves.
Many thanks to @futuresrosy for sharing her personal experience. (9/16)
Many thanks to @futuresrosy for sharing her personal experience. (9/16)
We are clear that decisions about end-of-life treatment must only be made after giving honest information and a thorough and sensitive discussion with each individual about their preferences, priorities and goals for care. (10/16)
The difficult decisions that may be required due to coronavirus do not justify determining what is right for each person based on blanket criteria without consultation. (11/16)
We know these conversations can be challenging for doctors, perhaps now more than ever as clinicians on the front line are incredibly pressured.
This is all the more reason why these conversations need to happen earlier, before a crisis. (12/16)
This is all the more reason why these conversations need to happen earlier, before a crisis. (12/16)
Some Drs have taken it upon themselves, big thanks to @DrLindaDykes @DrMarkTaubert and many others. But how do we turbocharge this initiative, at scale? (not a rhetorical question) (14/16)
We have years worth of data showing all sorts of problems when it comes to #DNACPR - so much so we started a big research project just before the Coronavirus lockdown. (15/16)
We’ve never been more motivated to learn and help ourselves, patients, doctors and everyone in between get better at this. We are here to help. (16/16)
