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Nurses can expect key role in new hospital end of life care initiative


I have just downloaded that pdf booklet, and flicked through to the 'refusing treatment bit, where I read: 'An advance decision to refuse treatment (sometimes called a living will or advance directive) is a decision you can make to refuse a specific type of treatment at some time in the future. This is to be observed if you can’t make your own decision at the time the treatment becomes relevant. 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.' Note 'Sometimes you may want to refuse a treatment in some circumstances' - but you might just want to refuse a treatment, in ALL circumstances. Currently many clinicians do not believe that 'I refuse CPR whatever caused the CPA' is adequate and valid on an ADRT (it is - but simply describing that correctly, as this booklet does above, won't necessarily be enough to alter existing flawed beliefs). There is also a separate problem which hinges on the requirement that an ADRT refusing a life-sustaining treatment must be in writing (this requirement seems to be sensible until you see the confusion it leads to - bit of a sod, that one): equally obvious when you think about it, and equally confusing to many clinicians ! At least Eol is improving, if too slowly for my liking.

Posted date

14 February, 2012

Posted time

1:46 pm