Advance care planning ahead of life-altering clinical deterioration in secure settings: Do not wait until a crisis
Autor: | Adam Hurlow, Jonathan Hurlow, Wendy Neil, Alice Pullinger |
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Rok vydání: | 2021 |
Předmět: |
Advance care planning
media_common.quotation_subject medicine.medical_treatment Prison Pathology and Forensic Medicine Advance Care Planning Medicine Humans 0501 psychology and cognitive sciences Cardiopulmonary resuscitation Acute hospital 0505 law media_common Clinical Deterioration business.industry 05 social sciences Treatment options General Medicine medicine.disease Mental health Anxiety Disorders Cardiopulmonary Resuscitation Psychiatry and Mental health Harm Mental Health 050501 criminology Anxiety Psychology (miscellaneous) Medical emergency medicine.symptom business 050104 developmental & child psychology |
Zdroj: | Criminal behaviour and mental health : CBMHReferences. 31(4) |
ISSN: | 1471-2857 |
Popis: | All professionals involved in someone's care should be equipped to support individuals, and the people close to them, to understand how their health is likely to change, consider the burdens and likely outcomes of treatment options and make realistic, informed recommendations to guide future care. This can be particularly challenging in forensic mental health, when it covers cardiopulmonary resuscitation alongside recommendations about acute hospital admission and medical escalation within and outside of hospital settings. Some clinicians question whether or not the harms of raising the spectre of invasive ventilation and potential mortality risks unnecessary anxiety and psychological harm amongst detained patients. Instead, we argue that timely advance care and treatment escalation planning with each patient, informed by psychiatric clinicians, is long overdue. |
Databáze: | OpenAIRE |
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