NELFT Academic Afternoon - Shared screen with speaker view
hi everyone, if you have any questions send them in the chat.
please cab everyone mute their microphones - bottom left of the screen
anyone not presenting, please can you mute your call
How do we calculate performance status please?
what if the family refuse to agree with our DNACPR when the patient is incapacitious
I've heard RESPECT forms mentioned. Is this similar to a DNACPR form?
anyone else having issues with audio?
that was scary
yes thank you
Keep sharing any questions you have, I am writing them down to give them Corinna in a bit.
Managing a dying patient on a psychiatric ward is something we have little experience with, how would this realistically be done?
I was going to ask similar do Dr Winnett; does she think the model used in care homes could be done on wards
I'm surprised that oxygen wouldn't form part of basic supportive treatment - surely not having oxygen is very uncomfortable...?
Considering our level of medical / nursing care
What if the patient wants to go to hospital regardless of what it might be like there?
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?
will we not be offering oxygen to these patients?
did anyone else just loose connection?, i had to log of and back in again.
Yes I had that issue
Yes I did Sue but back now
yes i did
typical i missed the question i really wanted to know about oxygen
The session is recorded and we will share the link afterwards.
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...
brilliant, thank you
Hospitals can give high flow oxygen, we cannot
you mentioned not to use a fan, but i often use this for breathelssnes management. Can we still do this?
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?
yes - discouraging fan due risk of further spreading virus
Any concern re. use of benzodiazepines in terms of possibly exacerbating respiratory depression?
Does giving benzos speed up death?
in patients with respiratory distress?
any place for prophylactic antibiotics
Could we use Haloperidol instead of Levomepromazine?
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.
Thank you for the talk
Tablets for sublingual & buccal lorazepam/clonazepam - are they the same tablets used for oral admin?
very helpful and thoughtful, thank you
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.
What is the Covid 19 hotline?
thanks for a brilliant presntation - thoughtful reassuring and helpful
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...?
Matt - covid 19 hotline is via switchboard...
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...
Thank you for the talk
Is tomorrows talk going to be the same content as this one?
Yes sue it will be the same content
clinical frailty score 5 patients...
Thank you very much for the talk.
thank you very much for this talk.
great talk thanks
Thank you vry much for the talk