Two Surveys which might be of interest re some chats on Twitter: topics CPR and ADRTs

mike stone 29/07/17 Dignity Champions forum

There is some 'chat' on Twitter around 'why are patients not asked to consent to CPR?'. I did a little survey about 5 years ago, and I titled my write-up 'The survey about Consent for CPR'.

I have just extracted it from a longer PDF containing 3 surveys, so the first part of its first page is actually the end of the previous survey, and should be ignored.


Associated files and links:

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mike stone 29/07/17

This was also in the same 'compilation PDF' so, again, ignore the first part of its first page. Ditto when I conducted the survey - about 5 years ago.

The survey contains some very interesting responses to the question I sent out - that question was:

Dear ,

There is a recent piece of guidance for End-of-Life (as in 'about a year to live')
or elderly patients/people (Planning for your future care: a guide, published by
the National End of Life Care Programme, ISBN: 978 1 908874 01 6,
publication date: Feb 2012).

That piece of guidance discusses Advance Decisions to refuse treatment, and
on page 7 it uses this wording, which is intended to be guidance for patients:
'Sometimes you may want to refuse a treatment in some circumstances but
not others. If so, you must specify all the circumstances in which you want to
refuse this particular treatment.'

I HAVE THIS QUESTION:

Does that say, that when refusing a treatment by means of an Advance
Decision, you must ALWAYS specify BOTH the treatment being refused, and
also the circumstances in which your refusal is to apply ?

Or, does it say you have the 2 OPTIONS of EITHER simply saying 'I refuse
treatment X', OR of saying 'I refuse treatment X if ..... is the situation' ?

I have become aware that some people interpret those words one way, and I
interpret them a different way.

Please note, I do not primarily want to know what anybody has been taught
about Advance Decisions, here - I specifically wish to know, whether if you
simply read those words, you would believe that it were possible to validly
write as the instruction on an Advance Decision 'I refuse X.' (where X is the
treatment being refused - for example 'any transfusion of blood products of
human origin') without including any circumstances ?

Best wishes, Mike Stone

Associated files and links:

mike stone 29/07/17

I DID format the words in the 'submit reply' box - no idea why they were posted 'scrambled'!