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-- contact glossary faqs implementation network learning health & care professionals patients & carers home recommended summary plan for emergency care and treatment implementing respect if you are a healthcare organisation wishing to implement respect in your locality, please contact [email protected] for information on how to do so. respect has been introduced in some localities as part of a formal research evaluation taking place over 3 years. alongside this it is now moving into the next phase in which health and care communities wishing to adopt respect can be offered access to the materials that they will need to start planning implementation. interested organisations should join the implementation network . people should not expect to use the respect process until it has been established in their locality. respect is a process that creates personalised recommendations for a person’s clinical care in a future emergency in which they are unable to make or express choices. it provides health and care professionals responding to that emergency with a summary of recommendations to help them to make immediate decisions about that person’s care and treatment. respect can be complementary to a wider process of advance/anticipatory care planning. the plan is created through conversations between a person and their health professionals. the plan is recorded on a form and includes their personal priorities for care and agreed clinical recommendations about care and treatment that could help to achieve the outcome that they would want, that would not help, or that they would not want. respect can be for anyone, but will have increasing relevance for people who have complex health needs, people who are likely to be nearing the end of their lives, and people who are at risk of sudden deterioration or cardiac arrest. some people will want to record their care and treatment preferences for other reasons. “empowering people to make informed decisions about their care is an essential part of a person-centred approach to healthcare, and nowhere is this more important than in decisions about life and death. the respect process was developed to help ensure that these decisions are made correctly, and as far as possible in accordance with a person’s own wishes. we believe this will improve the quality of care, and lead to a culture shift within emergency and end-of-life care.” federico moscogiuri , chief executive, resuscitation council (uk) “let's face it - no-one really wants to think about what might happen if they were to become critically ill! but of course the best way to do that is by planning ahead and doing the thinking while there's no crisis to deal with. that way you have time to think clearly, take advice, and share your thoughts and wishes with the people who might have to care for you. the respect process provides this opportunity in a clear, straightforward way. it will hopefully make it much easier for everyone, both inside and outside the healthcare professions, to make these challenging decisions together.” viv cummin , patient representative, respect working group news update - april 2018 latest news from catherine baldock, respect project manager. view pdf respect learning web-application this 'web app' can be used to learn about the respect process on your computer, tablet or smart phone. read more new publication we have published an easy read guide to respect, and would like to thank mencap and dr claud regnard for their assistance with its development. the guide is available here and on the patients and carers page. respect articles: prsb blog: personalised care is the future. read here national voices blog: why person-centred, coordinated care is just as important in an emergency read here bmj analysis: resuscitation policy should focus on the patient, not the decision read here bmj practice pointer: emergency care and resuscitation plans read here association of ambulance chief executives : news item on respect read here read more about respect: patients & carers health & care professionals respect is supported by respect is “the respect process is all about thinking ahead with patients about realistic care options in a truly person-centred way. ultimately the process aims to help people understand the care and treatment options that may be available to them in a medical emergency and enables them to make health professionals aware of their preferences” dr juliet spiller , co-chair of the respect working group & consultant in palliative care at marie curie hospices, edinburgh “ambulance clinicians often attend emergency calls and find that a person is unable to decide or communicate their wishes. the introduction of respect means we will know what treatment they have agreed they would or wouldn’t want in an emergency, and their views about whether they want to be taken to hospital or remain in their own home environment and under what circumstances.” cathryn james , association of ambulance chief executives and paramedic “the rcn has worked in partnership on the development of respect and believes that it will support better discussions and encourage a truly person-centred approach to what can be an uncomfortable discussion. the role of nurses in understanding the process and the value of having, when practicable, an open and honest conversation with people about their wishes and views for their future care and treatment in the event of an emergency is vitally important. nurses often play a pivotal role in helping people to understand their options. respect will help people to be truly involved in important decisions about their care and will ensure that staff are aware of these.” amanda cheesley , professional lead for long term conditions and end of life care, royal college of nursing “we are delighted to be one of the first trusts in the country to introduce respect. we have received positive feedback from both staff and patients and believe it will undoubtedly benefit our patients and facilitate shared decision-making around priorities of care and emergency planning.” catherine baldock , head of resuscitation, clinical skills and simulation at university hospitals coventry and warwickshire nhs trust top background development in 2014, the results of a systematic review of dnacpr decisions and documents were presented by the team from warwick university at the royal society of medicine. this meeting was attended by a group of more than 100 patients, clinicians (multidisciplinary and multiprofessional), healthcare commissioners and regulators. in the light of the evidence presented, the group agreed on a need to improve patient and family involvement in decision-making, to consider cpr decisions in the context of broader care and treatment, and to record the outcome on a form that would be used and recognised across the uk. following this, over 30 individuals, representing both the public and professional organisations from across the health sector, formed a working group to develop a new approach. the agreed aims of the working group were to develop a process and form that would: be acceptable to – patients and the public those important to patients health professionals carers other members of the public be underpinned by a good decision-making process promote good decision-making promote dialogue between individuals and clinicians be used across all care settings be used for individuals of all ages use evidence and experience from other successful initiatives consider decisions about cpr within overall goals of care. the working group reviewed examples of best practice in the uk and internationally and a new approach was developed iteratively over two years. development work included a public consultation, patient focus groups and usability testing. responses to these informed further revisions of the respect form and other materials to support the process. about respect the respect process is a new appr

URL analysis for respectprocess.org.uk

https://www.respectprocess.org.uk//mailto:[email protected]
https://www.respectprocess.org.uk//implement
https://www.respectprocess.org.uk///_news/2018-04-respect-update.pdf
https://www.respectprocess.org.uk//privacy.php
https://www.respectprocess.org.uk//healthprofessionals.php
http://www.respectprocess.org.uk/
https://www.respectprocess.org.uk//patientsandcarers
https://www.respectprocess.org.uk//_pdfs/respect-easy-read.pdf
https://www.respectprocess.org.uk//faqs.php
https://www.respectprocess.org.uk//glossary
https://www.respectprocess.org.uk//healthprofessionals
https://www.respectprocess.org.uk//implement.php
https://www.respectprocess.org.uk//learning
https://www.respectprocess.org.uk//#top
https://www.respectprocess.org.uk//patientsandcarers.php
wellcome.ac.uk
respectprocess.org.uk
ncpc.org.uk
macmillan.org.uk
londonscn.nhs.uk
mariecurie.org.uk
rcgp.org.uk
alliance-scotland.org.uk
cuh.org.uk
ics.ac.uk

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