pathways – Dr Rod’s Odd Blog (almondemotion)

Spiral 6… What comes after red?

It is a highly successful way to arrive at a result that no one necessarily desires or wants and that might just kill us all.

Tell me what has been happening.

This is how I often start, begin the conversation, listen to the story from the perspective of the husband or wife, son or daughter. They tell me about my patient, the deterioration, the frequent acknowledgment that things are getting worse, that they see the future. And, the system, the trying to do itsContinue reading “Tell me what has been happening.”

Why I don’t like (clinical) pathways – a physician speaks.

None of my patients seem to fit-into pathways, and that is a problem, for, as I say, the system is bedevilled with them.

Collected blogs on delirium 2015 to 2018

How many older people enter hospital and never leave? Are never aware that the paramedics who carry them from their living-room floor will never bring them back; their secrets, mementos, curios, stashed-away in corners only to be discovered by relatives when clearing-out the house after they have moved-on or died.

Death by drowning

It is like squeezing in to too small shoes. It can be done, it is awkward and, you can get about, but you look odd and you will soon get blisters.

DToC

Most readers of my blog will not have heard of this term. I suspect most of those working inside the NHS don’t know of its existence either… DToC – Delayed Transfer of Care. This is how groups of mostly older people are categorised once they are deemed medically fit – (another NHS neologism which tooContinue reading “DToC”