716 A MULTIDISCIPLINARY SIMULATED TEACHING PROGRAMME ON TREATMENT ESCALATION PLANNING IN THE CONTEXT OF FRAILTY

Abstract

Abstract Introduction We designed a simulated teaching session to enable participants to learn more about Treatment Escalation Planning (TEP) and do not attempt resuscitation (DNACPR) orders in the context of frailty and to simulate communication of these decisions with the patient/relative. Method We designed a teaching session which started with discussion of the participants individual learning Objectives. The session involved group discussion surrounding frailty and ways to assess it, communication skills and tools and TEP/DNACPR. We also discussed specific communication issues during the pandemic. The session then moved onto simulated conversations with a patient/their relative using the skills just discussed. Every participant had the chance to complete the scenario. Each participant also had a ‘debrief’ lead by the authors and valued input from a Resuscitation Officer. To date, 5 sessions have been completed with 13 participants. Participants were medical doctors, advanced nurse practitioners and acute care of the elderly practitioners. Results The mean overall rating of the session was 9.4/10. Participants recorded confidence scores in 4 main areas pre and post session. We found that, by participating in the session, confidence improved in all 4 areas; confidence assessing level of frailty, how to agree TEP decisions, initiating conversations around TEP, discussing potential treatment options with patients/relatives. Conclusion We have developed a simulated teaching session, which has been rated highly and is shown to be effective in increasing the confidence of participants when discussing TEP in the context of frailty. Our next steps will be to expand the programme to deliver further sessions.