Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ILS Course - A to E Training & Solutions Ltd > Making Decisions About Resuscitation > Flashcards

Making Decisions About Resuscitation Flashcards

1
Q

What should be considered when making a decision about resus?

A
  1. The pt’s individual circumstances
  2. Most up-to-date evidence and professional guidance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When should CPR NOT be offered or attempted?

A
  1. Clinical team believes that CPR will NOT restart their heart & breathing for a sustained period as the pt. is dying from an underlying disease or catastrophic health event
  2. There is no realistic possibility of a successful outcome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What to do if a person with capacity refuses CPR?

A
  1. Must be respected
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In England & Wales, if a person lacking capacity has a valid & applicable Advance Decision to Refuse Treatment (ADRT) specifically refusing CPR, what do you do?

A
  1. Respect
  2. No CPR
  3. This is legally binding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Who makes a decision about CPR?

A
  1. Senior clinician responsible for the pt’s care.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Who should be involved when a decision about future CPR is being considered?

A
  1. Pt should be involved in the decision-making process whenever possible
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What to do if a person lacks capacity to make decision about CPR?

A
  1. Those close to them (relatives) must be involved in discussions
  2. To inform a ‘best-interests’ decision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If A do not attempt cardiopulmonary resuscitation (DNACPR) decision has been made, what does it mean for other Rx?

A
  1. Other Rx continues as usual
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is NB to document w.r.t CPR decisions?

A
  1. Reasons for them
  2. Discussions that informed those decisions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ways to ensure good communication when making decisions about resus:

A
  1. Involving the pt. themselves
  2. Involving those close to the pt. (relatives)
  3. Clear explanation
  4. Provide information
  5. Avoiding misunderstanding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What to do if pt. lacks capacity to make decisions about CPR?

A
  1. Those close to them (relatives) must be involved in discussions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What to do if pt. lacks capacity to make decisions about CPR & CPR will not work?

A
  1. Explain why CPR won’t work to those close to the pt. (relatives)
  2. Explain why a DNACPR decision is needed
  3. Explain what it a DNACPR means
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When can family members make decisions about resuscitation for pt?

A
  1. If they hold an applicable power of attorney or similar legal power to make decisions for the patient
  2. About consent to, or refusal of, life-sustaining Rx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tips to explain decisions about resus to pt. so they understand:

A
  1. Use clear, unambiguous language
  2. Use a combination of verbal explanation & printed or digital info
  3. Provide acurate info
  4. Check understanding
  5. Ensure appropriate setting
  6. Allow adequate time
  7. Allow opportunities for discussion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the primary purpose of documentation in decisions with resus?

A
  1. To ensure that the decision
  2. The reasons for it
  3. The discussions that led to it
  4. Are available immediately to anyone present
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When is the best time to discuss CPR options with pt?

A
  1. When relatively stable
  2. Have time
  3. Have opportunity to discuss & consider their wishes carefully
17
Q

Every decision about CPR should be based on the …

A
  1. Individual circumstances of each person
18
Q

Which of the following is it appropriate to involve in deciding whether or not to attempt CPR in the event of Mary having a cardiac arrest?

A
  1. Mary
  2. Her family
  3. All multi-professional team members involved in her care (GP, Community heart failure nurse)
19
Q

In which 2 circumstances is it legally & ethically acceptable to make a CPR decision without discussion w/ the pt. or relatives?

A
  1. Having a discussion w/ pt. will cause phsyiological or psychological harm to them
  2. Pt. who lacks capacity & impracticable or inappropriate to contact relatives before a decision needs to be made
20
Q

3 steps recommened in the ReSPECT process:

ReSPECT = Recommendation Summary Plan for Emergency Care & Treatment

A
  1. Determine what pt. thinks are the most relevant health conditions & understand the Px of these condtions
  2. Record what the pt. fears & values
  3. Record what interventions will result in the desired outcomes
21
Q

If a pt. who lacks capacity has a legal proxy (attorney for health) what must you do?

A
  1. Involve that person in decision-making process
22
Q

What is the role of an IMCA?

IMCA - Independent Mental Capacity Advocate

A
  1. Speak on behalf of pt. who lacks capacity
  2. Has no other representatives
23
Q

Recording emergency care Rx plans - Ensure records include:

A
  1. Pt. identifier info
  2. Pt’ mental capacity
  3. Who was involved in making recommendations
  4. How Dr weighed pros & cons of Rx
  5. Recommended Rx & those which should not be provided
  6. Whether CPR should be attempted or not
24
Q

Factors influencing decision when to stop CPR:

A
  1. Hx
  2. Px
  3. Cardiac arrest rhythm present
  4. Absence of response to initial resus
  5. Duration of resus
25
Q

When to decide to stop CPR?

A
  1. Continuing CPR will not achieve ROSC
  2. Or outcome that would not be valued by pt.
26
Q

In general, CPR should be continued in cases with …

A
  1. Shockable rhythm
  2. Or potentially reversible cause of cardiac arrest persists

ILS Course - A to E Training & Solutions Ltd (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions