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Clinically Assisted Nutrition and Hydration Supporting Decision Making: Ensuring Best Practice

Friday 10 May 2019
De Vere West One Conference Centre, London

Clinically Assisted Nutrition and Hydration Supporting Decision Making: Ensuring Best Practice
Book online now

Follow the conference on Twitter #CANH

Chaired by Dr John Chisholme CBE, Medical Ethics Committee Chair, BMA this conference focuses on recent developments and implementing the December 2018 BMA/RCP guidance on Clinically Assisted Nutrition and Hydration. The guidance provides ‘the most up-to-date statement of doctors’ professional and legal obligations, and provides in-depth advice about the process to be followed and the different factors for doctors to consider in making these decisions.’ (RCP Dec 2018).   In the Summer of 2018 it was decided by the supreme court that decisions regarding clinically assisted nutrition and hydration no longer had to be routinely referred to the court which puts decision making about this important and often ethically charged decision making in the hands of doctors.

“The Supreme Court confirmed in the summer that decisions about CANH (clinically assisted nutrition and hydration) did not have to be routinely referred to the courts. Previously, as a result of a judgment 25 years ago it had been recommended ‘as a matter of good practice’ that reference be made to the courts where doctors withdrew CANH from a patient in a persistent vegetative state, but neither this judgment nor the Mental Capacity Act imposed a strict duty to do so. The recent ruling is one reason why it is particularly important for doctors to be given comprehensive guidance on decisions around CANH.” British Medical Association December 2018

“Health professionals must find out as much as possible about the patient from family and friends, in order to determine what the individual would want to happen in the situation that has arisen. If it is clear that the patient would, or would not, want CANH provided, this will usually determine their best interests.” Royal College of Physicians, December 2018

This conference will enable you to:

  • Network with colleagues who are working to improve best practice in decision making around Clinically Assisted Nutrition and Hydration
  • Reflect on national developments and learning including implementation of the December 2018 BMA/RCP Guidance, and Legal Developments and Principles  
  • Improve the way patients and families are involved in decision making to ensure individually patient focused outcomes
  • Develop your skills in best interests care planning
  • Reflect on the perspective of a patient
  • Understand how you can implement the guideline effectively in practice
  • Identify key strategies for decisions around clinically assisted nutrition and hydration within the dying phase
  • Understand who should make decisions, when, and when a second opinion is needed
  • Ensure you are up to date with the latest best practice with regard to patients in prolonged disorders of consciousness
  • Enable regular best interests assessments for patients who are stable on CANH
  • Self assess and reflect on your own practice
  • Gain CPD accreditation points contributing to professional development and revalidation evidence


 

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