Advance care planning ahead of life‐altering clinical deterioration in secure settings: Do not wait until a crisis.

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Title: Advance care planning ahead of life‐altering clinical deterioration in secure settings: Do not wait until a crisis.
Authors: Hurlow, Adam (AUTHOR), Hurlow, Jonathan (AUTHOR), Neil, Wendy (AUTHOR), Pullinger, Alice (AUTHOR)
Source: Criminal Behaviour & Mental Health. Aug2021, Vol. 31 Issue 4, p221-225. 5p.
Subjects: Medical personnel, Mental health services, Cardiopulmonary resuscitation, Treatment effectiveness, Mental health
Abstract: All professionals involved in someone's care should be equipped to support individuals, and the people close to them, to understand how their health is likely to change, consider the burdens and likely outcomes of treatment options and make realistic, informed recommendations to guide future care. This can be particularly challenging in forensic mental health, when it covers cardiopulmonary resuscitation alongside recommendations about acute hospital admission and medical escalation within and outside of hospital settings. Some clinicians question whether or not the harms of raising the spectre of invasive ventilation and potential mortality risks unnecessary anxiety and psychological harm amongst detained patients. Instead, we argue that timely advance care and treatment escalation planning with each patient, informed by psychiatric clinicians, is long overdue. [ABSTRACT FROM AUTHOR]
Copyright of Criminal Behaviour & Mental Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: <searchLink fieldCode="JN" term="%22Criminal+Behaviour+%26+Mental+Health%22">Criminal Behaviour & Mental Health</searchLink>. Aug2021, Vol. 31 Issue 4, p221-225. 5p.
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  Data: All professionals involved in someone's care should be equipped to support individuals, and the people close to them, to understand how their health is likely to change, consider the burdens and likely outcomes of treatment options and make realistic, informed recommendations to guide future care. This can be particularly challenging in forensic mental health, when it covers cardiopulmonary resuscitation alongside recommendations about acute hospital admission and medical escalation within and outside of hospital settings. Some clinicians question whether or not the harms of raising the spectre of invasive ventilation and potential mortality risks unnecessary anxiety and psychological harm amongst detained patients. Instead, we argue that timely advance care and treatment escalation planning with each patient, informed by psychiatric clinicians, is long overdue. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Criminal Behaviour & Mental Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/cbm.2203
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        Text: English
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      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Cardiopulmonary resuscitation
        Type: general
      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Mental health
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      – TitleFull: Advance care planning ahead of life‐altering clinical deterioration in secure settings: Do not wait until a crisis.
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              M: 08
              Text: Aug2021
              Type: published
              Y: 2021
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