| Make
Time |
- Acknowledge that you are willing to discuss this topic
- Listen Give plenty of time to support the person if you
are involved
- Avoid interruptions
- Is there any one else the person needs to be present
for support?
- Use active listening techniques, get the person to talk
about what they think and feel. Gently explore their ideas,
concerns and expectations Treat this as if you were breaking
bad news
- Use time a tool to make assessment of the patient’s
ability to make these choices at this time. Is the patient
able to decide today or is the functioning of their mind
influenced by their bereavement and trauma? If you believe
so then potentially their capacity could be reduced on
that day. If the patient is willing make a longer appointment
in the very near future – then continue you explorations
whilst demonstrating support.
- Take time to ensure absolute clarity of the decision
and offer the form and patient information leaflet to the
patient.
- Explain the benefits and shortfalls of making an ADRT.
This includes the method of ensuring your wishes are followed
in the event of loosing capacity. Explaining the need to
update the document regularly to ensure that it remains
applicable in the light of new therapies.
- Explain that any such document would need to be communicated
with a variety of professionals to ensure that it is followed
- Take time to document clearly in your own record the
relevant detail of the initial discussion leading to and
the absolute decision.
- Make sure when you met again you were fully prepared
with adequate time.
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