Cardiopulmonary resuscitation and do-not-resuscitate orders in the nursing home

被引:5
|
作者
Zweig, SC
机构
[1] Dept. of Fam. and Community Medicine, University of Missouri, School of Medicine, Columbia, MO
[2] Dept. of Fam. and Community Medicine, University of Missouri, Columbia, School of Medicine, Columbia
关键词
D O I
10.1001/archfami.6.5.424
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Following the early reports of success of cardiopulmonary resuscitation (CPR) in patients suffering from acute coronary events, CPR became standard practice in US hospitals. The policy of attempting CPR was extended to US nursing homes unless the physician wrote a do-nor-resuscitate order. Success rates of CPR in the hospital have not been shown in nursing home settings, Communication about CPR and the issues surrounding do-not-resuscitate orders in nursing homes is difficult. Cardiopulmonary resuscitation in nursing home residents is considered from the perspectives of autonomy, withholding futile therapy, cost-effectiveness, and not doing harm. Changes in nursing home policies regarding CPR and do-not-resuscitate orders are recommended.
引用
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页码:424 / 429
页数:6
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