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Dan Thomas
dan26wales
Not a fan of the “nurses are angels” narrative at allUndermines the roleThey are professionals doing a difficult jobNot “powered by love” , they need the right skills, training and
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More observations based on experience with Covid and palliative care over the last week1) Some clinicians dislike uncertainty, they want a binary active treatment or palliative care decision (opposite of
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Discussions with families about e.g. escalation decisions, end of life plans etc often go badly as the wrong questions asked e.g.“What do you want for your mum?”When we should be
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Older relative with end stage heart failure in nursing homeHas Advance care plan+Community DNACPR+Anticipatory drugs+Power of attourney in placeDeteriorated overnight. GP OOH remotely advised care home to ring 999 and
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