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 InstagramFresh tomatoesLow effort dinner of roasted squash with some spices, some steamed then air-fried potatoes and a simple green salad. Peeling the squash was hardest part! Some plant based creme fraiche - this one from @coconutcollab does taste of coconut so was good with this but would not work as swap for every recipe/meal. #plantbased #vegan #dairyfree #vegetables #crueltyfree #friendsnotfood #planetfriendlyVegan banh mi wins Saturday!Afternoon of watercolour doodling thanks to @artfulbox. Good for the soul. #mentalhealth #shhanxiety #art #artsandhealth #watercolor #watercolorpaintingFriday night #vegan Indian feast!Tried the Tesco #plantkitchen chicken-less kievs and they were good! Roasted some broccoli. Fried some beetroot leaves & stems with orange zest & garlic - delicious & a win trying to reduce #foodwaste. Finished up the potato, pea, mint & broad bean salad from lunch yesterday. Great #plantbased dinner!
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