Consent will be given in oral form during this community meeting with written documentation of the discussions for verification.
By comparison, documentation of the same discussion taking place with the patient themself was found in only 24.5% of cases.
Most relevant to this paper we explored experiences of discussions between patients, family, friends and with HCPs, including discussions about future care, preferences for where patients would like to be cared for and any documentation of those discussions.
Requests by researchers running trials to modify who was eligible for a study—"changes that may increase or decrease risks to subjects were almost always approved without any documentation of related discussion," the authors write.
Rigour was addressed by: repeated coding of transcripts by different team members to ensure a comprehensive themes list and framework was achieved; an iterative process of constant comparison between the existing framework and new data; detailed documentation of the analysis process; and discussion of emerging and final themes with all authors, including two academic GPs (JD, PG) [ 22].
First, whereas we would have hoped that documentation of a discussion would have been evident in all of the intervention clinic visit notes, such documentation was present in less than half of these.
The documentation of method of withdrawal was 59.2 %, on the other hand the treatment limitation on admission as advanced care plan, documentation of patient discussion about EOL, consideration of spiritual aspect, time of withdrawal, organ donation were documented in 22 %,2 %,12%%,16% and 300 % of cases respectively.
Our standards were that 100%% of patients should have documentation of a discussion with their parent consultant prior to ITU admission and 100%% of patients admitted to ITU should have a parent consultant review within 24 hours of admission.
We did not find any medical record documentation of a discussion about herb use.
