A lot of discussion on self #proning for #COVID19, but is this strategy potentially increasing patient risk of delayed intubation (similar to NIV) in patients on an ascending disease trajectory?
Agree. I suggest something even better: avoid the word "withdrawn"
"After discussion of prognosis and pt's values/preferences; the decision was made to transition to comfort care and prioritize pain & symptom control." @Surgpallcare @RedMDND @iwashyna @GioraNetzer@MdCCProject
#TipsForNewDocs
“Family decided to withdraw care” is never appropriate in the chart.
Better: "After discussion of prognosis and pt's values/preferences; life-prolonging measures to be withdrawn."
Families don’t make medical decisions- don't document as such.
#kittlesonrules