• =?UTF-8?Q?_UK_doctors_=e2=80=98less_likely=e2=80=99_to_resuscitate_?= =

    From Michael Ejercito@21:1/5 to All on Tue Jul 26 22:06:26 2022
    XPost: alt.bible.prophecy, uk.legal, uk.politics.misc

    https://archive.ph/GT6Mh

    UK doctors ‘less likely’ to resuscitate the most seriously ill patients since Covid
    Pandemic may have changed decision-making, according to research
    published in Journal of Medical Ethics
    A hospital patient with a ‘do not resuscitate’ band
    The survey suggested doctors would be less willing to resuscitate very
    sick or frail patients and may raise the threshold for referral to
    intensive care. Photograph: Peter Dazeley/Getty Images
    Andrew Gregory Health editor
    Mon 25 Jul 2022 18.30 EDT
    Doctors are less likely to resuscitate the most seriously ill patients
    in the wake of the pandemic, a survey suggests.
    Covid-19 may have changed doctors’ decision-making regarding end of
    life, making them more willing not to resuscitate very sick or frail
    patients and raising the threshold for referral to intensive care,
    according to the results of the research published in the Journal of
    Medical Ethics.
    However, the pandemic has not changed their views on euthanasia and doctor-assisted dying, with about a third of respondents still strongly
    opposed to these policies, the survey responses reveal.
    The research found that 59% of patients with a DNACPR decision survived
    their acute illness.
    Third of UK hospital Covid patients had ‘do not resuscitate’ order in
    first wave
    Read more
    The Covid-19 pandemic transformed many aspects of clinical medicine,
    including end-of-life care, prompted by millions more patients than
    usual requiring it around the world, say the researchers.
    The survey sought to find out if it has significantly changed how
    doctors make end-of-life decisions, specifically in respect of do not
    attempt cardio-pulmonary resuscitation (DNACPR) notices and treatment escalation to intensive care. Researchers also wanted to know if the
    pandemic had changed doctors’ views on euthanasia and doctor-assisted suicide.
    The survey was open to doctors of all grades and specialties in the UK
    between May and August 2021. In all, 231 responded: 15 from foundation
    year 1 junior doctors (6.5%); 146 from senior junior doctors (SHOs)
    (63%); 42 from hospital specialty trainees or equivalent (18%); 24 from consultants or GPs (10.5%); and 4 others (2%).
    In respect of DNACPR, the decision not to attempt to restart a patient’s heart when it or breathing stops, more than half the respondents were
    more willing to do this than they had been previously.
    When the responses were weighted to represent the different medical
    grades in the NHS national workforce, the results were: “significantly less” 0%; “somewhat less” 2%; “same or unsure” 35%; “somewhat more”
    41.5%; “significantly more” 13%; and “not applicable” 8.5%.
    We doctors must learn from what went wrong with 'do not resuscitate' orders Rachel Clarke
    Rachel Clarke
    Read more
    Asked about the contributory factors, the most frequently cited were:
    “likely futility of CPR” (88% pre-pandemic, 91% now): coexisting
    conditions (89% both pre-pandemic and now): and patient wishes (83.5% pre-pandemic, 80.5% now). Advance care plans and “quality of life” after resuscitation were also commonly cited.
    The number of respondents who said “patient age” was a major factor informing their decision grew from 50.5% pre-pandemic to about 60%. And
    the proportion who cited a patient’s frailty rose by 15 percentage
    points from 58% pre-pandemic to 73%.
    The biggest change, however, was in those citing “resource limitation”, which increased by 20 percentage points, from 2.5% to 22.5%.
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    When asked whether the thresholds for escalating patients to intensive
    care or providing palliative care had changed, the largest proportion
    said the “same or unsure”: 46% (weighted) for referral; 64.5% (weighted) for palliative care.
    But a substantial minority said that they now had a higher threshold for referral to intensive care (22.5% weighted) and a lower threshold for palliation (18.5% weighted).
    “What is yet to be determined is whether these changes will now stay the
    same indefinitely, revert back to pre-pandemic practices, or evolve even further,” the researchers concluded.
    When it came to euthanasia and doctor-assisted suicide, the responses
    showed the pandemic has led to marginal, but not statistically
    significant, changes of opinion.

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  • From Revd Terence Fformby-Smythe@21:1/5 to MEjercit@HotMail.com on Wed Jul 27 10:48:55 2022
    XPost: alt.bible.prophecy, uk.legal, uk.politics.misc

    On Tue, 26 Jul 2022 22:06:26 -0700, NOT Michael Ejercito
    <MEjercit@HotMail.com> wrote:


    https://archive.ph/GT6Mh

    UK doctors less likely to resuscitate the most seriously ill patients
    since Covid

    Whz are you sharing this, gook? What possible relevance can the UK
    health system have to an illegal immigrant Flip Chinaman in
    California?

    --- SoupGate-Win32 v1.05
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  • From Michael Ejercito@21:1/5 to Revd Terence Fformby-Smythe on Wed Jul 27 08:16:24 2022
    XPost: alt.bible.prophecy, uk.legal, uk.politics.misc

    Revd Terence Fformby-Smythe wrote:
    On Tue, 26 Jul 2022 22:06:26 -0700, NOT Michael Ejercito <MEjercit@HotMail.com> wrote:


    https://archive.ph/GT6Mh

    UK doctors ‘less likely’ to resuscitate the most seriously ill patients >> since Covid

    Whz are you sharing this, gook? What possible relevance can the UK
    health system have to an illegal immigrant Flip Chinaman in
    California?
    Mangina, there is nothing illegal about me, and I was sharing an
    article of public concern.

    Try being wonderfully hungry. Then you can be rapture ready!

    To switch to a much more pleasant topic, a woman got to spend a
    weekend with her grandson.

    https://www.instagram.com/p/CfXwfsNDzvT/


    Michael


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  • From Revd Terence Fformby-Smythe@21:1/5 to MEjercit@HotMail.com on Wed Jul 27 16:58:57 2022
    XPost: alt.bible.prophecy, uk.legal, uk.politics.misc

    On Wed, 27 Jul 2022 08:16:24 -0700, NOT Michael Ejercito
    <MEjercit@HotMail.com> wrote:

    Revd Terence Fformby-Smythe wrote:
    On Tue, 26 Jul 2022 22:06:26 -0700, NOT Michael Ejercito
    <MEjercit@HotMail.com> wrote:


    https://archive.ph/GT6Mh

    UK doctors less likely to resuscitate the most seriously ill patients
    since Covid

    Whz are you sharing this, gook? What possible relevance can the UK
    health system have to an illegal immigrant Flip Chinaman in
    California?
    Mangina, there is nothing illegal about me, and I was sharing an
    article of public concern.

    You ARE an illegal Flip Chinaman and it's only of public concern in
    the UK, gook...nobody else gives a shit, especially not in Manila
    where you're heading.

    Try being wonderfully hungry. Then you can be rapture ready!

    You have been ready for rapture and deportation by the ICE 5-0 for
    years!

    To switch to a much more pleasant topic, a woman got to spend a
    weekend with her grandson.

    https://www.instagram.com/p/CfXwfsNDzvT/

    Did someone excrete another half-human piece of shit? UNGH[sic]!!!

    --- SoupGate-Win32 v1.05
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