Thread by @GlosLungDoc, Reflecting on my week on Resp HDU @gloshospitals 1/ Fantastic MDT working, [...]

Dr Charlie Sharp

GlosLungDoc

Reflecting on my week on Resp HDU @gloshospitals
1/ Fantastic MDT working, flexibility, adaptability, but it’s hard when you can’t recognise people in PPE - think how patients must feel!
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2/ You get your eye in for who will get sick...but they get sick so fast. Vital that important conversations about wishes, priorities, escalation had as early as possible. Also really important to talk to families, try to get the on video link to patient
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3/ Some patients really find conscious probing helps symptoms! Fancy term for lying on your tummy...(why haven’t we encouraged this more before?)
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4/ CRP trend is the most useful test...and can take a while to turn the corner...be patient!
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5/ Even when improving, it takes ages...be honest with patients that they are in for the long haul.
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6/ Talking to ITU colleagues twice a day was great learning and support - thanks @drfrocester @simonwebster74 @AndyFoo7
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7/ It’s hard, but really rewarding
Finishing the week with 4 discharges probably helped!!

Thanks, as ever to all nurses, AHP, HCA, medical colleagues, cleaners, porters, radiographers for all your great work

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