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
- 37,832 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
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!
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.