Critical decisions to continuing care: navigating withdrawal and rehabilitation in critical care

Day 2

Chaired by: Pearlene Antoine-Pitterson (Birmingham) and Mrs Alison Armstrong (Newcastle)

3:45pm - Legal and ethical decision-making in critical care
Dr Sonya Daniel (Cardiff)

4:15pm - Bridging the gap: addressing critical care outcomes for individuals with learning disabilities
Dr Ben Messer (Newcastle)

4:45pm - An MDT approach to complex decision making
Gemma Cox (Taunton)
With Dr Ben Messer and Dr Sonya Daniel - case discussion with perspectives from the whole panel

3:45 PM

90 MINUTE SESSION

Learning outcome

  • To provide insight into the medical legal aspects surrounding complex decision making in critical care.
  • To gain insight into the MDT approach to complex decision making in critical care and the complex experiences of professionals in decision making.
  • To gain insight to the complexity of rehabilitating patients from critical care to respiratory and highlight practical approaches to rehabilitation and weaning. 

Curriculum mapping

  • The topics will touch on collaboration and MDT working. There are topics on ICU, respiratory and community care, therefore this incorporates speciality training.
  • The legal and ethical aspects of decision making fit with category 2 - able to deal with ethical and legal issues related to clinical practice, and the implications of treatment in critical care and respiratory.

  • Generic capabilities in practice
    • 3. Communicates effectively and can share decision making, while maintaining appropriate situational awareness, professional behaviour, and professional judgement
    • 4. focused on patient safety and delivers effective quality improvement in patient care.

  • Clinical capabilities in practice
    • 2. Managing the acute care of patients within a medical specialty service
    • 3. Providing continuity of care to medical inpatients, including management of comorbidities and   cognitive impairment
    • 5. Managing medical problems in patients in other specialties and special cases
    • 6. Managing a multi-disciplinary team including effective discharge planning
    • 7. Delivering effective resuscitation and managing the acutely deteriorating patient

  • Specialties in practice
    • 2. Managing integrated respiratory medicine across the primary and secondary care interface including management of long-term disease
    • 4. Managing the service and patients with respiratory failure in multiple settings including hospital and, in the community