All professionals involved in someone’s care should be equipped to support individuals, and the people close to them, to understand how their health is likely to change, consider the burdens and likely outcomes of treatment options and make realistic, informed recommendations to guide future care. This can be particularly challenging in forensic mental health, when it covers cardiopulmonary resuscitation alongside recommendations about acute hospital admission and medical escalation within and outside of hospital settings. Some clinicians question whether or not the harms of raising the spectre of invasive ventilation and potential mortality risks unnecessary anxiety and psychological harm amongst detained patients. Instead, we argue that timely advance care and treatment escalation planning with each patient, informed by psychiatric clinicians, is long overdue.

中文翻译：

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在安全环境中改变生活的临床恶化之前的预先护理计划：不要等到危机

参与某人护理的所有专业人员都应具备支持个人及其亲近的人的能力，以了解他们的健康可能发生的变化，考虑治疗方案的负担和可能的结果，并提出现实、明智的建议以指导未来的护理。这在法医心理健康中尤其具有挑战性，因为它涵盖了心肺复苏以及关于医院内外急诊住院和医疗升级的建议。一些临床医生质疑，提高有创通气和潜在死亡率的危害是否会给被拘留患者带来不必要的焦虑和心理伤害。相反，我们认为，在精神科临床医生的告知下，及时为每位患者制定预先护理和治疗升级计划，