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End of Life Care, DNACPR and Advance Decisions UK

Course Content

1

Section 1: Foundations of End of Life Care

  • 1.1 What End of Life Care Covers

  • 1.2 Ethical Principles at the End of Life

  • 1.3 The Legal Framework Across the UK

  • 1.4 Recognising That a Person May Be Dying

2

Section 2: Capacity, Best Interests and Treatment Decisions

  • 2.1 Capacity and Consent to End of Life Decisions

  • 2.2 Best Interests and the Role of Others

  • 2.3 Withholding and Withdrawing Treatment

  • 2.4 Clinically Assisted Nutrition and Hydration

3

Section 3: CPR and DNACPR Decisions

  • 3.1 What CPR Can and Cannot Achieve

  • 3.2 Making a DNACPR Decision Lawfully

  • 3.3 Discussing CPR with Patients and Families

  • 3.4 Recording, Communicating and Reviewing DNACPR Decisions

  • 3.5 Misconceptions and Errors That Cause Harm

4

Section 4: Advance Care Planning and Advance Decisions

  • 4.1 Advance Care Planning and ReSPECT

  • 4.2 Advance Decisions to Refuse Treatment in England and Wales

  • 4.3 Checking Validity and Applicability

  • 4.4 Lasting Powers of Attorney and Welfare Attorneys

  • 4.5 Differences in Scotland and Northern Ireland

5

Section 5: Care and Communication in the Last Days of Life

  • 5.1 Conversations About Dying

  • 5.2 Priorities for Care of the Dying Person

  • 5.3 Symptom Relief, Anticipatory Medicines and Double Effect

  • 5.4 Supporting Families and Care After Death

6

Section 6: Requests to Hasten Death, Disagreement and Personal Resilience

  • 6.1 Requests to Hasten Death and the Current Law

  • 6.2 Conscientious Objection and Personal Beliefs

  • 6.3 Disagreement, Escalation and the Courts

  • 6.4 Looking After Yourself and Your Team

7

Section 7: Conclusion and Key Points

  • Conclusion and Key Points

8

Section 8: References and Quick Reference

  • References and Further Reading

  • Quick-Reference Guide

9

Section 9: Reflection

  • Your reflective account