Having conversations to understand and record a person’s wishes has never been more important than during the current COVID-19 pandemic. Read this document from the Resus Council clarifying what the ReSPECT Process can do to help facilitate conversation.
Watch this webinar from the RCGP, which focuses on crucial conversations during the COVID-19 pandemic, including Advanced Care Planning, death and dying.
Thinking ahead with anticipatory care planning and documenting discussions using the ReSPECT process
The ReSPECT process creates a personalised recommendation for someone’s clinical care in emergency situations where they are not able to make decisions or express their wishes.
Trained staff guide selected patients through an extended conversation, often taking place over several contacts to allow families and carers to be involved. This results in a completed ReSPECT form that details the person’s wishes for their care, along with appropriate clinical recommendations, which can include a “Do Not Attempt Cardiopulmonary Resuscitation” (DNACPR), if that decision is made.
ReSPECT is however about much wider care preferences and treatment ceilings and is equally applicable to patients for whom resuscitation is appropriate.
Access our training and implementation resources.
Here is guidance from the Infection Prevention Society and British Association of Critical Care Nurses, for facilitating compassionate care for patients dying with COVID-19.
Helping break unwelcome news
Health Education England has published a set of materials and films which aim to support staff through difficult conversations arising from the COVID-19 outbreak.
The framework includes posters and films based on the evidence base from Real Talk and then filmed with willing volunteers.
You can watch the films here:
Then access the resources here:
- Evidence-based advice for difficult conversations, by Professor Ruth Parry, Loughborough University
- Poster and sketch note
- Telephone call checklist
Resources specifically for care providers looking after people with learning disabilities:
- Beyond Words free picture stories and illustrated guides to support people with learning disabilities and autism through the coronavirus pandemic. This includes ‘Jack Plans Ahead for Coronavirus: a guide for family and carers‘.
- Turning Point have worked with Learning Disability England to produce an information pack and Do Not Attempt Cardiopulmonary Resucitation (DNACPR) checklist, that will help families and carers understand the issues and jargon involved in DNACPR orders, and enable them to raise questions and concerns.
- A guide about DNACPR: understanding your rights and challenging decisions.