advance care plan – almondemotion

this is me, again, and what you and i want or do not want when the ambulance is on the way.

I have become victim to the system bias of considering diagnoses and discharge destinations to be of more importance than the person I am discharging.

Effectiveness

Thursday morning. Not another blog about advance care planning!

If this narrative has held together, my point is, we can offer just as good, if not better care, treatment and support for particularly older people in their own homes than is available through high-tech medical interventions.

Dementia

Do Not Attempt (Cardio-Pulmonary Resuscitation) and Advance Care Plans in the time of Covid

Well, if nothing (but everything) has changed, what is the big deal about DNACPR and ACP; what is new?

Delirium

Anticoagulation and possible head injuries in care home residents

Consequently, significant numbers of very frail and older people are transferred to local Emergency Departments following either trivial head injuries or when a head injury is only suspected but not witnessed.

Delirium

My Job

Mostly, my approach is to consider that we, that is the community services (those outside the acute hospital) can and do support a far broader range of patients than people realise and, when working well together, can care for a significant proportion of the people who otherwise arrive at the door of A&E.

Delirium

G. falls over and possibly bangs his head

He was treated with antibiotics and returned to the care home 48 hours later. During his stay he fell twice on the ward; there was an incident with a member of staff which led to him receiving intramuscular Lorazepam.

Effectiveness

First

They are in the community, but not in the community in the sense of hospital specialists, rather, they are sitting at their kitchen table struggling with beans on toast, or negotiating the short distance between front and back room

Dementia

To stop, or not: that is the question.

A new class of drugs, originally called ‘novel anticoagulants’ (NOACs) and now, that they aren’t that new, ‘direct oral anticoagulants’ aka ‘DOACs' have overwhelmed the marketplace

Delirium

Tigers, long-term conditions & my new life

In the hospitals (the hole) we sit and wait. Eventually, inevitably, the older person will fall-in;

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