ReSPECT Process (REDMAP) Masterclass Toolkit

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ReSPECT

The ReSPECT Process

The ReSPECT process is relevant for anyone with whose health may deteriorate rapidly or gradually. ReSPECT creates personalised recommendations for a person’s clinical care and treatment in an emergency. If appropriate, recommendations about cardiopulmonary resuscitation (CPR) can be included. (See ReSPECT UK)

A crucial aspect of the ReSPECT process is the conversations that take place with the person and their family about what matters to them if their health changes, and options available to support them if they need emergency treatment and care. The discussion relates to completion of a ReSPECT form or electronic record but the main focus is the conversation:

  • Discussing and reaching a shared understanding of the person’s current health and how that could change in the foreseeable future. (ReSPECT Section 2)
  • Exploring what is important for this person and their overall goals of care. Is this towards life-prolonging treatments or a focus on quality of life and comfort? (ReSPECT Section 3)
  • Making and recording shared decisions about available, realistic treatments and care in line with what the person would like or does not want. Explaining sensitively about the benefits of making decisions in advance about treatments that would not work in this person’s situation. (ReSPECT Section 4)
  • Making and recording a shared decision and recommendation about CPR. (ReSPECT Section 4)

NHS Forth Valley in collaboration with NES has led development and implementation of ReSPECT in Scotland, including Digital ReSPECT. Teaching video available at: ReSPECT and the Deteriorating Patient 

Redmap
Red tool

 

This toolkit contains all the resources needed for experienced facilitators to run an interactive, online ReSPECT conversation masterclass using the REDMAP framework. It contains a detailed running order and script for the session, facilitator notes, and handouts for participants plus example clinical scenarios. Facilitators are encouraged to adapt the scenario to the learning needs of their participants. The toolkit can also be used for in-person training. 

cogs

 

Tutor Roles:

There is a minimum of 4 roles required to run this masterclass:

  1. Chair 
  2. Lead Tutor (plus 1-2 additional tutors in training or for large groups) 
  3. A senior tutor in role as a healthcare professional (should be a role they are familiar with) 
  4. A simulated patient/relative or a professional in role as someone of the same gender and approximate age (trained volunteer, professional or tutor

 

Downloadable Toolkit contains:

  1. REDMAP image
  2. REDMAP image slide
  3. REDMAP Framework
  4. Example REDMAP in ReSPECT Scenario:
    Patient with advanced chronic obstructive pulmonary disease (COPD) recently discharged
  5. Webinar Masterclass ReSPECT Process - Tutor Roles
  6. Webinar Masterclass ReSPECT Process - Structure
  7. Having realistic conversations – ReSPECT Process (REDMAP) handout for participants
  8. Talking about ACP
  9. Helpful language in ACP

 

This ACP in the community (REDMAP) training resource was developed by senior clinicians and educators from NES, NHS Greater Glasgow and Clyde, NHS Forth Valley, The University of Edinburgh and EC4H.