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 InstagramPacking up ready to move. Time to throw away these pinnacles of my #protest #art!Irish stew and colcannon. Very hearty dinner after a day of packing and painting!Butternut squash and chorizo risotto made with @lafauxmagerie chorizo. So good!New friends in the new garden.We got a lovely cauliflower in the @oddboxldn so I made this roasted cauliflower with bulgar wheat & zoug! Adapted recipe from @olivemagazine. Trying to reduce #foodwaste so I roasted the cauliflower leaves too & they were v tasty with some seasoning & a squeeze of lemon.Lunch @mildredsrestaurants was delicious! Levant spiced kebabs - recommend. Also had a side of kimchi because #kimchi is heaven
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