Category: Communication

Dealing with a complaint

Everyone will receive a complaint – this is inevitable. Usually, these are informal, “I’m unhappy with the care delivered” from a relative or the patient. In this article, I’ll focus on themes contained in Good Medical Practice guidance & Duty of Candour from the GMC, advice from MDU (dealing with your first complaint & how to respond) and MPS. Make

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Self-discharge

Frequently patients wish to self-discharge from hospitals. This article pertains to adult patients only (18y+) and these patients can be broadly split into three groups: Reminder on Capacity Do read the GMC guidance on capacity, which reminds us that patients have presumed capacity. Thus patients need to have a ‘disease of mind or brain’ before

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Discussing Treatment Escalation & DNAR

As an FY1 you should not be expected to make decisions regarding treatment escalation and DNAR, but you may need to prompt seniors to consider them & explain these decisions to your patients and/or relatives. Definitions and abbreviations Do Not Attempt Resuscitation (DNAR/ DNA CPR) – this is a medical decision that states if a

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Self Harm

The most common place you will see a patient who has self-harmed is in ED, where they have been referred to the psychiatry team but need to be medically cleared. Rarely this could occur on the ward but the format is still vastly the same. Here are some tips on how to manage this. History

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