PROTECT | Values for Well-being and Resilience

14 | AWARE 1 - Appraise Clinical Decision - ANXIETY

Manaan Kar Ray Season 1 Episode 14

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Professionals need a good understanding of self before they can understand others.

AWARE protects against undue influences in the act of clinical decision making. Intended to make practice safer, its use in clinical supervision or multidisciplinary case reviews should bolster practice by making individuals and/or teams who assess people in suicidal crisis, mindful of the implicit effect of the AWARE factors.

The five factors are:
Anxiety (generated/diffused in):
●Patient
●Family/carer/friend
●Referrer
●Triaging/assessing practitioner

Weighting (of symptoms elicited):
●Diagnosis (comorbidity - personality disorder/alcohol or substance misuse)
●Course of illness (acute/chronic/acute on chronic)
●Factors considered outside core remit (relationships/finances/accommodation/employment/family - carer availability)

Agenda (elicited in):
●Referrer
●Patient
●Family
●Practitioner
●Team

Resources (identified or not):
●Beds
●Home treatment capacity

Experience (generalised from):
●Same patient to different presentation
●Other patients from the same diagnostic group 
●Other patients from the same demographic profile
●Past adverse events

These episode dives deep into Anxiety and discusses why we see what we want to see.

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