GeriatricsGeneral Medicine
ReSPECT / Advance Care Planning
Personalised emergency care plans — patient values, treatments wanted/not wanted, CPR decision, communication across services.
Source: ReSPECT (RCP); NICE NG142
Step 1 of ~3
info
When to Initiate
ReSPECT — for any person with significant illness with risk of deterioration; life-limiting condition; frailty; known wish to plan ahead. Initiate early — not in crisis. Senior clinician + patient + family. MCA 2005 framework.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Labetalol (IV — Hypertensive Emergency) · Combined Alpha-1 and Beta-Adrenergic Blocker
- Labetalol (IV — Hypertensive Emergency) · Combined alpha and beta blocker
- Tenecteplase · Cardiovascular Emergency
- Tirofiban · Cardiovascular Emergency
- Terlipressin · Gastrointestinal Emergency
- Octreotide · Gastrointestinal Emergency
Pathways
- Falls Assessment in Older Adults · NICE CG161 2013
- Delirium Outside ICU · NICE CG103
- Comprehensive Geriatric Assessment (CGA) · BGS / NICE
- Delirium Assessment and Management · NICE CG103 2010
- Frailty Recognition and Management · BGS Frailty Framework / NHS NHSE
- Polypharmacy and Medicines Optimisation · STOPP/START v2 2014 / NICE NG5
Decision support only. Always apply local guidelines and clinical judgement.