The care home question keeps coming up..
Because most care home residents live with frailty and multiple medical conditions, there may be occasions where paramedics, general practitioners, or other healthcare professionals make decisions not to escalate their care to hospital. These decisions will not be taken lightly and care home staff must be prepared to work with healthcare providers to support families and residents if such difficult decisions have to be taken.
Healthcare professionals may find the Clinical Frailty Scale (CFS) to be a useful resource in making and discussing escalation decisions.
13 At the time of writing, the NICE guidance on escalation of COVID positive patients to critical care suggests frailty will play an important part in decision-making.
14 It has been suggested that those with a CFS of 5 or more are less likely to benefit from critical care. Primary care providers may wish to consider this in their discussions with residents and relatives, and decisions about escalation to acute care
https://www.bgs.org.uk/resources/covid-19-managing-the-covid-19-pandemic-in-care-homes