Treatment Escalation Plans: Resources
A Treatment Escalation Plan is a tool used to communicate appropriate / inappropriate interventions. It should be used in the event of clinical deterioration.
"Making it easier to do the right
thing" "No DNACPR without a TEP"
TEP Guidance Notes
The Evidence: relevant literature on the topic of TEPs
This web site contains:
- 3 videos of FREQUENTLY ASKED QUESTIONS chaired and led by ED Consultant Dr. Alastair Ireland
- 2 videos of simulated conversations with a patient regarding Goals of Treatment (Acute Physician Dr. Chris McNally)
In this video by Dr Kirsty Boyd, Reader in Palliative Care, University of Edinburgh, provides a framework for holding conversations if a patient is seriously ill and there are threats to recovery. Developed during the COVID emergency, the video still provides useful training in communication.
What to do at 3am? Comprehensive education module
This series of videos was developed by Dr. Jack Fairweather under the auspices of the Royal College of Physicians and Surgeons of Glasgow. This is quite a substantial module, but it is covers lots of relevant issues and is well worth while.
You will need to register free of charge at:
After registration you will click on “My Digital Learning” and arrive at: https://community.rcpsg.ac.uk/account/dashboard/learning#area
There are two modules available:
- Ethics and the Law, and where this fits with national policy and
- Practical and clinical approaches
There is a specific section in module 2 which covers Treatment Escalation Plans (section 6)
A discussion with Professor Robin Taylor led by Dr Eoghan Colgan, an ED consultant and the producer of St. Mungo’s broadcasts. A good easy-to-digest introduction to the TEPs topic.
This is a series of podcasts led by Dr Calvin Lightbody, an ED consultant in Hairmyres Hospital. The topics covered are:
- Addressing the death taboo*
- Critical Illness, prognosis, hope and truthfulness*
- Spiritual pain at the end of life*
- Things go better with planning*
- Dementia - a realistic conversation
- Palliative Care - myths, mysteries and reality
- Focus on Frailty I
- Focus on Frailty II
- Mairi’s story – the experience of a dementia patient’s family in an acute care hospital
* = relevant to Treatment Escalation Planning
This is a short crisp cartoon-style video produced by NES about conversation skills and content for situations where the patient may be dying.