A useful practical summary of latest ruling
Teaching how to make ethical decision – a framework and balancing toolkit
M make sure of all the fact e.g. diagnosis, treatment options, prognosis
O outcome of
R relevance to the
A agents involved e.g. what matters most to the patient (>family>other patients>staff>NHS) e.g. mortality, pain, distress, cognition, independence
L level out the arguments using the
Futility = when holistic goals are non-acheivable
From Dan Harvey’s presentation at MTCCN conference
Does it need to be done now? If deferred is the outcome likely to be different/better/worse/the same?
If surgically patient needs to be done but needs a level x bed and none available – if on balance the surgeons agree that, though not ideal and increased chance of mobility/mortality without higher level is recognised, if the outcome is still likely to be better than if deferring – proceed.