Ethics

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Training materials

Queens university library

Here you can find learning and training materials to help put the principles of the guidance into practice.

You can watch the following presentations, or use them as part of any training sessions within your area.

You can access the links referred to in some of the presentations, below:

  • Case studies

    To help guide doctors when it comes to making a decision about CANH and adults who lack the capacity consent, we have put together three fictional case studies which offer examples of decision making in different scenarios.

    You can use all three of them to guide your understanding of the guidance, or focus on the case study most relevant to your area of practice.

    We recognise that in reality, many of these discussions should have already taken place and decisions reached long before the point described in these case studies. Following our guidance will help embed and support good practice in this area.

    The reference to particular sections of the guidance in the case studies refer to the main CANH guidance document, which is available to download.

    Scenario one

     

    Name: Mr F

    Age and gender: 79-year-old male

    Situation: Admitted to hospital with bradycardia secondary to electrolyte disturbance due to acute diarrhoeal illness and aspiration pneumonia. Diagnosed with Parkinson's disease six years prior. 

    Read the scenario

    Scenario two 

     Winter pressures – beds

    Name: Ms V

    Age and gender: 34-year-old female

    Situation: Has suffered multiple injuries including traumatic brain injury, in a road traffic accident. After several months in an intensive care unit, where CANH was initiated, she is transferred to your ward.

    Read the scenario

    Scenario three

    Name: Mr K

    Age and gender: 90-year-old male

    Situation: He has been living in a nursing home since his general health deteriorated three years ago following a stroke. Eighteen months ago, he had another severe stroke which left him with a severely reduced level of consciousness and unable to swallow.

    You have recently taken over Mr K's care from another GP in the practice.

    Read the scenario