ReSPECT Training

• ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment
• ReSPECT is different from many current DNACPR schemes and treatment escalation plans because:
  • ReSPECT is proactive and not reactive.
  • ReSPECT is personalised.
  • ReSPECT involves more than just the person.
  • ReSPECT is about much more than CPR decisions.
  • ReSPECT applies nationally and in all settings.
  • ReSPECT has been developed by national experts and members of the public.

Course Content

• Introductions.
• What is ReSPECT?
• How does ReSPECT work?
• Who initiates it ?
• Scenarios – group workshop.
• Joe’s story.
• What is DNAR and how does it work ?
• Myths about DNAR?
• What is an ADRT and how does it work?
• Why is it different from ReSPECT and ADRT?
• Story of Alan and Jean.
• Quiz.

The key stages of the ReSPECT process are:

1. Understand – To establish a shared understanding of the person’s state of health and medical conditions, and what they might reasonably expect in terms of progressive deterioration, abrupt health crises and longevity.

2. Set goals – To establish what is important to the person, and what they see as the main focus for their care and treatment – balanced between sustaining life and maximising comfort – this allows people to agree their goals of care.

3. Plan – To discuss the treatments that should be considered for a person as well as treatments which they may not want or that may not help them. The recommendations are recorded on a ReSPECT form.

And… though ReSPECT is not legally binding, the recommendations made must be considered when making decisions about the person’s care and treatment and draw attention to any other legally binding documents they may have.

A change of culture is needed to think about emergency care planning in this way, which will take time to embed among the public and among professionals.

Certification 

On completion of the course delegates will be issued with a certificate of attendance.