Realistic Conversations: Difficult but Necessary Conversations
A free online webinar for Scottish Ambulance Service staff who are involved in difficult but necessary conversations.
This online session allows participants to watch a real time interactive demonstr led by EC4H tutors. Participants will have the opportunity throughout the demonstration to contribute suggestions and feedback to the tutor team via the chat box.
Scenario
Helen Watson is a 79 year old lady with non-small cell lung cancer. She has undergone palliative chemotherapy, however she now has progressive liver, pleural and bone metastases. At her last oncology appointment, a referral was made to the local palliative care team and there is a planned first visit tomorrow. Helen lives alone, her daughter Susan lives in Wales but she has recently been staying with her mum.
Helen’s daughter has dialed 999 and is demanding admission for her mum. On arrival, crew identify that Helen is in last few days of life with shortness of breath and some pain. Helen expresses a wish to stay in her home.
Learning outcomes
In this advanced clinical communication workshop participants will:
· Communicate sensitively and effectively with people and those close to them about serious illness, deteriorating health, goals of care and CPR.
· Talk plan of Care informed by an understanding of ‘what matters’ to people and their families.
· .Discuss treatment and care options and outcomes within a person-centred model of shared decision-making
· Respond to anger, distress, collusion and other complex emotions.
· Discuss the benefits and limitations of treatment in a balanced way.
· Address communication challenges that arise when the person has impaired decision-making capacity