Realistic Conversations: Effective Communication for ACP/DNACPR Discussions

A free interactive session for NHS Western Isles staff involved in ACP/DNACPR discussions.   Participants will watch a real time interactive demonstration led by EC4H tutors and will have the opportunity throughout the demonstration to contribute suggestions and feedback to the tutor team.

This workshop is open to NHS Western Isles staff only

Overview

Mrs Davidson, a 65 year old patient was admitted with an acute exacerbation of COPD. On admission, the patient had evidence of a moderately severe infective exacerbation requiring IV antibiotics, oxygen, nebulisers, and steroids. The consultant has decided the patient should be for ward level care. Overnight the patient has stabilised but the outcome remains uncertain.
The Nurse meets with the patient during ward rounds to discuss a ward level care plan

Learning Outcomes:

• Communicate sensitively and effectively with people and those close to them about serious illness, stopping treatment, deteriorating health and DNA-CPR
• Talk about Anticipatory Care Planning informed by an understanding of “what matters” to individual patients and families
• Respond to anger, distress, collusion and other complex emotions
• Manage people who have unrealistic expectations of treatment and outcomes
• Address communication challenges that arise when the person has impaired decision making capacity