2 Treatment and care planning

2 Treatment and care planning

2.1 When possible, discuss the risks, benefits and possible likely outcomes of the treatment options with patients with COVID‑19, and their families and carers, so that they can express their preferences about their treatment and escalation plans. Use decision support tools (when available). Bear in mind that these discussions may need to take place remotely (see recommendation 1.3).

2.2 Put treatment escalation plans in place because patients with COVID‑19 may deteriorate rapidly and need urgent hospital admission (see recommendation 3.1).

2.3 For patients with pre-existing advanced comorbidities, find out if they have advance care plans or advance decisions to refuse treatment, including do not attempt resuscitation decisions. Document this clearly and take account of these in planning care.

2.4 For patients who are being considered for admission to critical care in line with the NICE COVID-19 rapid guideline on critical care in adults bear in mind that this may need to happen urgently.