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Cardiology
Case report 14/03/2018

Problematic pacemaker placement

Problematic pacemaker placement

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Mr U, a 29-year-old teacher, was referred to Dr N, a consultant cardiologist, with a history of several episodes of dizziness, perspiration and palpitations. A 24-hour ECG had shown episodes of tachycardia and bradycardia, and second-degree Mobitz type II heart block was demonstrated when symptomatic.

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05/11/2015

Ask the expert – DNACPR orders and communication

Ask the expert – DNACPR orders and communication

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Recently a patient with terminal pancreatic cancer presented acutely with bowel obstruction and was admitted to hospital under our team. We discussed DNACPR with the patient, and he was in agreement that this would be appropriate to have in place. The following day, however, his wife was very unhappy this had not been discussed with her, and she asked to have the DNACPR order removed. To what extent are we as clinicians obliged to discuss a DNACPR decision with relatives, having already discussed this with the patient?

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Factsheet 01/10/2013

HSC complaints procedure – Hospital setting

HSC complaints procedure – Hospital setting

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Complaints in health and social care: standards and guidelines for resolution and learning (2009) aims to provide a simple, consistent approach for staff who handle complaints, and for patients who raise complaints across all health and social care services.

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