'No beds' Flashcards
Mr Angelini 77 yr dementia, NH resident. ICU is full. Discharge to ward to admit 20yr Male.
WIFE REFUSING DISCHARGE TO WARD.
What Mr A would have wanted in this situation. What would he think?
What is motivating Maria’s decision? Is this in her best interest or the patient’s?
Recognise ur own anxty ( making value judgement on who deserves the bed)
Mr A recent conditin ( dementia).
Think abt the man he used to be & the probability tht he won’t survive this hsptl stay.
What other things to include in discussion to avoid single issue negotiation? ( offering to review him regularly on the ward).
ACTIONS
Explain y it is necessary & app for MR A to be discharged under the cricumstances
Express the understanding of Wife POView
Explain the anticipated course ( it likely Mr A will not survive hsptlzn) & it is not possible to keep him in ICU indefinitely.
Explain the plan not to readmit Mr A to ICU shld he deteiorate again.
Hw do u think things hv been progressing?
Tell me about Mr A. What was he like as a young man?
We are wondering whether further stay in ICU is really achieving very much at this stage.
I am pleased that u appreciate the care we have been able to provide in ICU but can u accept that Mr A cannot stay in ICU INDEFINITELY
What do u think u would do if u wr in my situation.
