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A. The clinical issues (11:24)
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1. The current situation
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2:47
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Frustration, CPR overuse, lack of decisions, variable approaches, poor communicationb
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2. Why has this situation arisen?
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5:09
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CPR development, expectations, poor training, clinical uncertainty, ‘doing everything’c
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3. How can we improve clinical care?
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3:29
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Framework, normalize discussion, honesty, shared responsibility, scripted questions, involve team, systematize not protocolise
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B. The decision -making framework (13:06)
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1. Is CPR decision- making different?
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3:09
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Patient expectation, life and death, trust, part of overall care + ongoing
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2. The medical assessment
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3:28
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Answer ‘will this patient survive CPR’, how to make the decision
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3. Four clinical categories and discussion aim
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4:38
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Clinical framework presented in interview style, animation of framework, deliberate and interpretive communication [11]
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4. Documentation
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1:59
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Capture escalation plan, value + preferences of patient, follow local policy
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C. Communication tips and examples (13:34)
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1. Improving communication
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5:13
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Communication overview, clinician tips for CPR decision-making, learning communication, introduces tools ‘ask-tell-ask’ + ‘NURSE’
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2. Patient/Doctor scenarios
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2:52
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Poor conversation (tools annotated), Dot dies ‘bad death’, healthy view of death
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2.1 Dot and Dr Nick
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5:29
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Good conversation (tools annotated), Dot dies ‘good death’, consumer voice
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2.2 Dot and Dr Eng
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Overview video
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5:35
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Promotional style overview of Section A,B and C with dramatisation of dying scenes
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