Treatment Escalation Plan TEP and Resuscitation Decision Record

Treatment Escalation Plan (TEP) and Resuscitation Decision Record Myth Buster Dr Jemma Cooper Macmillan GP Facilitator jemma. cooper@nhs. net

Treatment Escalation Plan

Resuscitation Decision Record

Myth 1 A TEP form is a legally binding document and the decisions recorded on it must be followed � 5

Myth 2 Only the healthcare professional completing the form can discuss the content with the patient � 7

Advanced care planning discussions are everyone’s responsibility

Myth 3 It is purely a patient decision as to whether they want to be resuscitated or not � 9

Would we prescribe antibiotics for a viral infection? Would we suture a graze? Would we offer pain relief when the patient has no pain? Resuscitation should not be offered as an option when it would clearly be unsuccessful

However the resus council remind us… If a DNACPR decision is made on clinical grounds that CPR would not be successful there should be a presumption in favour of informing the patient of the decision and explaining the reason for it Those close to the patient should also be informed and offered explanation

Myth 4 You don’t need to worry if the patient cannot understand the discussion when completing a TEP form � 12

Mental Capacity Act 2005

Guidance on back of TEP form

Myth 5 The form must be completed in its entirety to be valid � 15

Ideally yes…… but as long as signed and dated correctly it is still valid

Myth 6 A new form must be completed each time the patient changes healthcare setting � 17

Myth 7 A photocopy of an original form is an acceptable substitute � 19

Any questions?