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.
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seenbylj on InstagramBuddha bowls - rice, marinated tofu, garlic fried broccoli, potato & peanut coconut curry & quick carrot pickleHomemade bread. Is there anything better? This work of art made by @crumbs_from_apuliaMet this lovely family on a trip out of london today. Beautiful #cygnets in the parkSticky squash & pistachio flatbreads from @we_are_food - great way to cook squash as it’s much faster than roasting. Pomegranate, pistachios, chilli & @violife_foods feta style cheese go really well! #plantbased #vegan #dairyfree #crueltyfree #planetfriendly #friendsnotfoodOutside was a great place to be today #blossom #blossomwatch #notlondonThis pizza was delicious! @asap.pizza in borough market. I nearly died of cold by the time we went home! Very grateful to my past self who packed gloves & a hat in my bag! I am not built for al fresco dining in the UK in April! Great to see other lovely humans! #plantbased #vegan #veganpizza
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