Discover and read the best of Twitter Threads about #goalsofcare
Most recents (2)
What is the importance of #palliativecare during a viral epidemic such as #COVID19? Surprised to see this critical need is not being openly addressed. Thread to follow about how we should prepare, and some of the expected challenges.
#publichealth #cdnhealth #medtwitter
#publichealth #cdnhealth #medtwitter
1/ As the #COVID19 epidemic continues, ICU services could go from limited to unavailable. It is expected that the need for critical care could be 200% of capacity, or even much higher. More patients may be denied ICU than those who will receive it.
2/ Pts who are not going to survive #COVID19 still have an equal right to care. We can’t abandon them or their families. Hence, all pts who are denied ICU should be receiving #palliativecare- not optional but a basic human right, which should be included in all contingency plans.
Some time ago, I saw a pt with severe untreated suffering at #EOL alongside aggressive & unproven life-prolonging interventions. When I asked the medical team, they said they were doing “what the family wanted.”
Sharing some of my thoughts about this below 👇🏾👇🏾👇🏾
Sharing some of my thoughts about this below 👇🏾👇🏾👇🏾
1/ Rejecting paternalism does not imply that we take ourselves out of the decision making process altogether. We should always work together with our pts & families rather than just “doing what they want.”
#hpm #hapc #bioethics
#hpm #hapc #bioethics
2/ We should move towards a “deliberative” rather than an “informative” model of decision making. Pts should share values/expectations & we propose medical treatments. It is crucial for all HCPs to have better training on having #goalsofcare conversations.
#hpm #hapc #bioethics
#hpm #hapc #bioethics
