Michael Ejercito wrote:
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.
The only *healthy* way to stop the pandemic, thereby saving lives, in
the U.K. & elsewhere is by rapidly ( http://bit.ly/RapidTestCOVID-19 ) finding out at any given moment, including even while on-line, who
among us are unwittingly contagious (i.e pre-symptomatic or
asymptomatic) in order to http://tinyurl.com/ConvinceItForward (John
15:12) for them to call their doctor and self-quarantine per their
doctor in hopes of stopping this pandemic. Thus, we're hoping for the
best while preparing for the worse-case scenario of the Alpha lineage mutations and others like the Omicron, Gamma, Beta, Epsilon, Iota,
Lambda, Mu & Delta lineage mutations combining via
slip-RNA-replication to form hybrids like
http://tinyurl.com/Deltamicron that may render current COVID vaccines/monoclonals/medicines/pills no longer effective.
Indeed, I am wonderfully hungry ( http://tinyurl.com/RapidOmicronTest
) and hope you, Michael, also have a healthy appetite too.
So how are you ?
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 patients >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 patients 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%.
Sign up to First Edition, our free daily newsletter every weekday
morning at 7am BST
Enter your email address
Name
Sign up
We operate Google reCAPTCHA to protect our website and the Google
Privacy Policy and Terms of Service apply.
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.
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: The LORD says "Blessed are you who hunger now ..."
Shame on andrew, look at his red face.
He is trying to pull a fast one. His scripture bit is found among these:
'14 Bible verses about Spiritual Hunger'
Psalms
81:10 I am the LORD thy God, which brought thee out of the land of Egypt: open thy mouth wide, and I will fill it.
Proverbs
13:25 The righteous has enough to satisfy his appetite, But the stomach of the wicked is in need.
Joel
2:26 And ye shall eat in plenty, and be satisfied, and praise the name of
the LORD your God, that hath dealt wondrously with you: and my
people shall never be ashamed.
Psalms
107 For he satisfies the thirsty and fills the hungry with good things.
Acts
14:17 "Yet he did not leave himself without witness, for he did good by giving you rains from heaven and fruitful seasons, satisfying
your hearts with food and gladness."
someone eternally condemned & ever more cursed by GOD perseverated:
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: a very very very simple definition of sin ...
Does andrew's "definition" agree with scripture? Let's see in 1 John:
John wrote this to christians. The greek grammer (sic) speaks of an ongoing >> status. He includes himself in that status.
1:8 If we say that we have no sin, we deceive ourselves, and the truth is
not in us.
1:9 If we confess our sins, he is faithful and just to forgive us our sins, >> and to cleanse us from all unrighteousness.
1:10 If we say that we have not sinned, we make him a liar, and his word is >> not in us.
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