Planning meeting — Transcript

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1. 0:02hi chris i think the family are ready
2. 0:04for the next
3. 0:04conversation okay and they were there at
4. 0:07the testing weren't they
5. 0:09do you think that helped them yeah i do
6. 0:10yeah i think they um
7. 0:12they got a lot from that i think they're
8. 0:14ready for a poor outcome
9. 0:16so we need to go and speak to them about
10. 0:17the the diagnosis of death now don't we
11. 0:19um thinking ahead uh the things we'll
12. 0:22have to talk about
13. 0:24do you know if he's on the odr so i've
14. 0:26checked the organ register and philip
15. 0:28hasn't expressed a decision on there
16. 0:30so potentially he could meet the
17. 0:31criteria for deemed consent
18. 0:34right okay um forgive me i've not done
19. 0:36an approach with team's consent okay
20. 0:38yeah
21. 0:39how's it different so in order to meet
22. 0:41the criteria the patient needs to be
23. 0:42over the age of 18.
24. 0:44we need to know that he's voluntarily
25. 0:45resided in england for at least 12
26. 0:47months prior to his death
27. 0:49and we know that because we've got his
28. 0:50gp summaries
29. 0:53have we got any reasons to have like any
30. 0:55concerns over his mental capacity prior
31. 0:57to his icu admission
32. 0:59no he was working as a teacher okay yeah
33. 1:01i know nothing's been brought up in his
34. 1:03medical history to suggest his
35. 1:04capacity so it doesn't seem that way
36. 1:07so the other thing i need to do is
37. 1:09explore with the family if he's
38. 1:10expressed
39. 1:11a decision verbally about donation
40. 1:12because that would count as much as
41. 1:14signing the register okay
42. 1:18well i suppose we need to go in and
43. 1:20speak to them then
44. 1:21um have they been louise well wife
45. 1:24sandra and brother mike have been at the
46. 1:26bedside
47. 1:27um all along and as you know you know
48. 1:28they were at the test so
49. 1:30i think they're devastated but ready
50. 1:32really for the next part of the
51. 1:34conversation
52. 1:35okay okay um okay well if we go in then
53. 1:38and if i start off by talking about
54. 1:41the testing and the confirmation of
55. 1:43death that's occurred
56. 1:45and then maybe if i hand over to you to
57. 1:46do all the end of life
58. 1:48yeah that'd be great thank you
59. 1:51throughout the conversation i might use
60. 1:52some silences or pauses just to give the
61. 1:54time
62. 1:55family a bit you know time to comprehend
63. 1:58what we're telling them and what we're
64. 1:59offering them
65. 2:00yeah and we've done keepsakes and uh
66. 2:02handprints lots of hair and
67. 2:04we've called the vicar okay um well i
68. 2:08suggest in that case if
69. 2:09if if they're ready are they ready yep
70. 2:11they're ready let's go and speak to them