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A moving story, and thank you for sharing it.
Junior staff are more likely to avoid initiating difficult conversations, and will tend to default to active management.
Early senior assessment and involvement of a consultant is more likely to result in early decision making.

One thing we are looking to do is to include the Rockwood Clinical Frailty Score in the COVID assessment protocol which helps trigger doctors to think about what the ceiling of care that the patient may already have decided e.g. as per RESPECT form.