Factors that influence the style and tone of a conversation include the person\u2019s health, beliefs and the wishes of those close to them. Sadly, CPR is often portrayed in the fictional media as a heroic procedure that works well and leaves no lasting impact, but the reality is that in palliative care patients it typically works less than 2% of the time, and the other 98% either die whilst receiving it, or soon after, with no ability to regain meaningful consciousness. It is also worth bearing in mind that in natural dying, the heart rhythms (agonal rhythms) are not responsive to electric shocks at all, and so giving chest compressions to await a defibrillator would be futile. Sometimes, these preconceptions make discussing and addressing CPR and DNACPR in people will serious, incurable illness very challenging.<\/p>\n\n
A DNACPR form does not mean that you are also opting out of chemotherapy, radiotherapy, antibiotics, urgent blood transfusions or research trial medications; no, it means people are opting out of a treatment that is at the extreme end of resuscitative medicine, and that has virtually no chance of success. Talk CPR was developed to train and help install confidence in professionals when speaking about CPR and DNACPR. Patients told us: \u201cHow can we express our views on something when we don\u2019t know the in\u2019s and out\u2019s of the treatment in question? If you give us the information, we\u2019ll let you know our views on having a DNACPR form added to our care\u201dAs hard as it can be to broach, we think talking CPR and talking DNACPR can become part of a normal discourse between healthcare professionals and their patients.<\/p>\n\n
TalkCPR has received nearly a million hits since launch and the resource is used by a number of hospitals and hospices. The videos can also be found on Youtube, Vimeo and on NHS Wales intranet<\/a>. TalkCPR is now included on the NICE website as a Shared Learning resource<\/a> and has won several national awards, including the Royal College of Physicians Excellence in Patient Care Awards which has a patient\/carer judging panel. Furthermore it is listed by the GMC, and the Royal College of Physicians in their 2019 \u201cTalking about Dying\u201d report.<\/p>\n\n We encourage hospitals and hospices across the UK to talk (about) CPR and DNACPR with the professionals working there. They may find our video resources<\/a> of value and help encourage a caring dialogue and further questions. We hope it will inspire others to come up with similar videos, to add to the TalkCPR Youtube resources<\/a> and the TalkCPR website.<\/p>\n\n Broadening conversations beyond CPR to other preferences and refusals remains a key priority. TalkCPR should incorporate TalkACP (Advance Care Planning) and resources such as www.advancecareplan.org.uk<\/a> and www.wales.nhs.uk\/afcp<\/a> remain highly accessed in Wales, by patients, carers and healthcare professionals alike.<\/p>\n","protected":false},"excerpt":{"rendered":" A few years ago, we embarked on a quality improvement project called \u2018TalkCPR\u2019.<\/p>\n![\"\"](\"https:\/\/compassionate.cymru\/wp-content\/uploads\/2021\/03\/Image-for-Article-2-TalkCPR-1024x768.jpg\")
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\nTalk CPR\u2019s goal is to encourage conversation about CardioPulmonary Resuscitation (CPR) for people affected by life-limiting and palliative illnesses. Talking about Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR) is an important part of advance care planning and can help minimise distress at a later stage.<\/p>\n","protected":false},"author":1,"featured_media":181,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[],"yoast_head":"\n