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
Read more
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
Read more
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
Read more
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
Read more