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NELFT Academic Afternoon - Shared screen with speaker view
Medical Education
15:35
hi everyone, if you have any questions send them in the chat.
carterp
16:15
please cab everyone mute their microphones - bottom left of the screen
Elinor
16:24
anyone not presenting, please can you mute your call
Asuka Leslie
22:12
How do we calculate performance status please?
mohan bhat
34:07
what if the family refuse to agree with our DNACPR when the patient is incapacitious
Asuka Leslie
34:35
I've heard RESPECT forms mentioned. Is this similar to a DNACPR form?
Umer Siddique
35:40
anyone else having issues with audio?
Umer Siddique
35:47
okay fine
Umer Siddique
35:54
yes
Lottie James
35:54
that was scary
carterp
35:57
fixed
Feyi-WabosoZ
36:01
yes thank you
okereke okereke
36:03
yes
Medical Education
38:08
Keep sharing any questions you have, I am writing them down to give them Corinna in a bit.
Andrew Winnett
40:34
Managing a dying patient on a psychiatric ward is something we have little experience with, how would this realistically be done?
Liam Embliss
40:58
I was going to ask similar do Dr Winnett; does she think the model used in care homes could be done on wards
Anulika
41:06
I'm surprised that oxygen wouldn't form part of basic supportive treatment - surely not having oxygen is very uncomfortable...?
Liam Embliss
41:16
Considering our level of medical / nursing care
Elinor
43:29
What if the patient wants to go to hospital regardless of what it might be like there?
Saman Ahmed
45:08
does this mean that all current dnar forms need to take into account covid.When u discuss with the family can we discuss transfer to general hospital as not a possibility. Also can we also plan dying on our wards?
Saman Ahmed
46:07
will we not be offering oxygen to these patients?
sue webb
48:09
did anyone else just loose connection?, i had to log of and back in again.
Emily
48:26
Yes I had that issue
Feyi-WabosoZ
48:29
Yes I did Sue but back now
okereke okereke
48:31
yes i did
sue webb
48:37
thank you
sue webb
49:27
typical i missed the question i really wanted to know about oxygen
Medical Education
49:55
The session is recorded and we will share the link afterwards.
Anulika
50:19
Thank you for a very interesting talk. One query is to do with clinical frailty score 5 being considered the point of stopping escalation fo care to hospitals... I heard this was the current guidance... couldn't these people do quite well clinically? its difficult to think that we couldn't escalate care for these people who arent' dying...
sue webb
50:20
brilliant, thank you
RoughleyM
50:36
Hospitals can give high flow oxygen, we cannot
sue webb
55:08
you mentioned not to use a fan, but i often use this for breathelssnes management. Can we still do this?
Umer Siddique
56:52
is using a fan on the face not something that is encouraged in a palliative setting e.g. in people with advanced heart failure and recalcitrant fluid on the lungs? Is the discouragement of a fan in the context of presence of the virus?
Elinor
57:20
yes - discouraging fan due risk of further spreading virus
DevineM
58:33
Any concern re. use of benzodiazepines in terms of possibly exacerbating respiratory depression?
Anulika
58:47
Does giving benzos speed up death?
Anulika
58:58
in patients with respiratory distress?
okereke okereke
59:18
any place for prophylactic antibiotics
RoughleyM
01:02:37
Could we use Haloperidol instead of Levomepromazine?
ChaudryN
01:07:49
Thank you for this interesting talk. I wonder what pain medicine should be prescrinbed to someone with COVID 19 positive. As most of these suppress respiration.
BalakrishnanV
01:08:14
Thank you for the talk
Olufunmilayo Balogun
01:09:01
Tablets for sublingual & buccal lorazepam/clonazepam - are they the same tablets used for oral admin?
Elinor
01:09:39
very helpful and thoughtful, thank you
Othmane El-Mezoued
01:09:55
Do you take into account the religious background of the deceased when disposing of the body? Considering cremation for example are against some religious cultures.
FarrajD
01:10:08
thank you
RoughleyM
01:10:54
What is the Covid 19 hotline?
Olufunmilayo Balogun
01:12:10
thank you
carterp
01:12:34
thanks for a brilliant presntation - thoughtful reassuring and helpful
Anulika
01:13:18
I feel that it is easier to palliate those patients who are very unwell and wouldn't survive hospital admission, but more difficult to palliate those patients who you feel could survive in hospital - any thoughts about the ethics that covid 19 guidance might bring to clinicians...?
Anulika
01:14:37
Matt - covid 19 hotline is via switchboard...
Anulika
01:16:51
Just continuing on theme of spirituality - some patients will have spiritual needs e.g. keeping in mind some patients might want to see a priest before they die (catholics) to have the last rites...
Othmane El-Mezoued
01:17:03
Thank you for the talk
sue webb
01:17:37
Is tomorrows talk going to be the same content as this one?
Medical Education
01:17:53
Yes sue it will be the same content
sue webb
01:18:01
thank you
Anulika
01:19:33
clinical frailty score 5 patients...
Anulika
01:20:22
OK thanks.
DevineM
01:20:51
Thank you very much for the talk.
Umer Siddique
01:21:09
thank you!
Daniel
01:21:15
Thank you
mohan bhat
01:21:15
thank you very much for this talk.
zahids
01:21:15
great talk thanks
IonitaS
01:21:15
thank you
Sam Martin
01:21:17
Thank you vry much for the talk
Adam
01:21:19
Thank you!
Tunde
01:21:28
Thank you
okereke okereke
01:21:34
thank u