Making and documenting good decisions about CPR (cardiopulmonary resuscitation) and treatment escalation plans, that are truly shared decisions, is a challenge. I find that the challenge comes from a number of factors: intrinsic difficulties of talking about the possibility of death in a largely death-denying culture; the great diversity of beliefs, wishes, and level of preparation for such decisions amongst patients; difficulties in facing my own mortality and the ways in which personal situations may affect my professional abilities; navigating tensions between hope and acceptance; and additional complexities that stem from having such conversations in the context of an emergency hospital admission. In the midst of a busy shift, faced with distressed people who are in pain, sometimes it is hard to find the words.
Tweet about this post
Follow on twitter
My vital statistics
- 36,799 hits
- active ageing ageing well art Assisted dying Assisted suicide autonomy Blood test bucket list C. S. Lewis Cardiopulmonary resuscitation care chronic disease communication compassion costs CPR creativity death Debbie Purdy determinants of health Diagnosis Dignitas Discharge DNAR doctor Dying Matters empathy ethics euthanasia event Falconer family fear futility grief harm healing health health and social care bill Healthcare Health care honesty hope Hospital human inequality life Media medicine Mental health mortality National Health Service NHS old Organ donation patient Philosophy physician assisted dying politics Private healthcare privatisation public sector quality of life right to die Screening social determinants of health social interaction sympathy technology time touch training welfare state wellbeing wishes
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.