Decisions around resuscitation discussed.

Official figures from the Department of Health and Social Care report that Coronavirus has affected 2099 care homes in England alone. 

The figures of deaths in care homes remain unclear due to the fact that the numbers have only recently been included in the daily statistics.

There has also been a lack of testing in care homes.

The actual numbers are estimated to be far higher than the reported numbers.

 

In a joint statement, the Nursing and Midwifery Council and the British Medical Association have condemned the use of 'blanket' DNACPR orders.

This comes after patients reported pressure from GP's and other providers to allow do not attempt cardiopulmonary resuscitation orders to be recorded.

This has been either based on the patients age or a chronic condition.

You can read the full statement at the Nursing and Midwifery Council website.

 

In the daily Coronavirus briefing on Wednesday 15 April, Health Secretary, Matt Hancock, condemned the implementation of blanket DNACPR orders. 

The CQC will be contacting care providers urgently to advise them to remove any agreements that would prevent care recipients from accessing healthcare.

 

Advance care planning remains best practice.

Although clinicians are having to make urgent and complex decisions in these challenging times, people have the right to discuss their care preferences. 

Due to the nature of COVID-19 and the high numbers of older people dying, it is important to ensure that people's wishes and preferences are discussed and met where possible.

 

AutumnCare has several documents that support care staff to have open and transparent conversations around:

  • Future care needs
  • Resuscitation
  • Escalation to hospital

 


Pathway Planning with AutumnCare 

Excerpt, page one of three: 

Resuscitation in Advance Care Planning

End of Life Preferences with AutumnCare

Resuscitation in Advance Care Planning

 

 

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This post was written by AutumnCare