Publications by authors named "Hazel Blanchard"
In the UK, the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is a widely used process, designed to facilitate shared decision-making between a clinician and a patient or, if the patient lacks capacity to participate in the conversation, a person close to the patient. A key outcome of the ReSPECT process is a set of recommendations, recorded on the patient-held ReSPECT form, that reflect the conversation. In an emergency, these recommendations are intended to inform clinical decision-making, and thereby enable the attending clinician-usually a general practitioner (GP) or paramedic-to act in the patient's best interests.
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- The Resuscitation Council UK created the ReSPECT emergency care treatment plan in 2016 to guide treatment recommendations like cardiopulmonary resuscitation in urgent medical situations.
- The study aimed to assess the usage of ReSPECT in primary care, focusing on its implementation and impact on patient care by using interviews, surveys, and evaluations in various settings.
- Findings showed public support for treatment plans, with 41% of surveyed general practitioners using ReSPECT; those who did were more at ease discussing emergency care options compared to those using traditional 'do not resuscitate' forms.
Background: The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) includes agreed clinical recommendations for a person's care in a future emergency which have been informed by discussion of the person's preferences. Previous evaluation of ReSPECT plans in acute NHS hospitals found inconsistencies in recording patient's preferences and involvement in the plan, and infrequent justification for recommendations.
Aim: To explore to what extent ReSPECT recommendations reflect individual preferences, as documented in the plan.
Background: The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) has been implemented in many areas of the UK. It is unclear how ReSPECT is used in primary and community care settings.
Aim: To understand the extent to which relapse risk and prevention are discussed and managed in general practice.
Background: A holistic approach to emergency care treatment planning is needed to ensure that patients' preferences are considered should their clinical condition deteriorate. To address this, emergency care and treatment plans (ECTPs) have been introduced. Little is known about their use in general practice.
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