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Do Not Resuscitate Orders: Among Physicians, Nurses, Patients and Relatives

The document discusses ethical aspects of do-not-resuscitate orders and decision making. It analyzes questionnaires and interviews with physicians, nurses, patients, and relatives. It finds discrepancies between guidelines and attitudes regarding DNR orders. Patients value open communication about end of life treatments. Relatives felt they received adequate information. The conclusion calls for early conversations with chronically ill patients and their families about end of life support and making joint decisions.

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Salman Habeeb
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100 views4 pages

Do Not Resuscitate Orders: Among Physicians, Nurses, Patients and Relatives

The document discusses ethical aspects of do-not-resuscitate orders and decision making. It analyzes questionnaires and interviews with physicians, nurses, patients, and relatives. It finds discrepancies between guidelines and attitudes regarding DNR orders. Patients value open communication about end of life treatments. Relatives felt they received adequate information. The conclusion calls for early conversations with chronically ill patients and their families about end of life support and making joint decisions.

Uploaded by

Salman Habeeb
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as RTF, PDF, TXT or read online on Scribd

Donotresuscitateorders

Ethicalaspectsondecisionmakingandcommunication

amongphysicians,nurses,patientsandrelatives

BY

RURIKLFMARK

.ABSTRACT
LfmarkRurik. [Link]
communicationamongphysicians,nurses,patientsandrelatives.
ISBN9162845284
Thepurposewastodescribeethicalaspectsonhowdonotresuscitate(DNR)deci
sionsaremade,established,andcommunicatedbetweenphysicians,nurses,patientsand
relatives.
Arandomsampleof220physiciansandnursesansweredaquestionnaireabouttheir
[Link]
responseratewas73%.Twentyseriouslyillpatients,and21relativesofpatientswho
died with a DNR order, were interviewed. The literature on medical futility was
searchedforconditionsforfutilityandmoralconsequences.
Theresultsshowedthatmanyphysiciansandnursesareuncertainabouttherulesand
ethics of DNR orders. There are discrepancies between guidelines and attitudes
regardingDNRorders,[Link]
estimateopenandstraightforwardconversations abouttreatments intheendoflife.
Relatives seem to get acceptable information and counselling. Conditions and
[Link]
numerouspossibleethicalconflictswithinandbetweentheprinciplesofautonomy,
nonmaleficence,beneficence,andthevirtuesandidealsoftheprofession.
Startadialogueaboutendoflifesupportwithchronicallyillandelderlypatients,and
theirrelatives,[Link]
[Link]
[Link]
thepatients,therelativesandthestaff,afterwhichajointdecisioncanbereached.

Key words: DNR orders, futility, decision making, communication, physicians,


nurses,patients,relatives,ethics

RurikLfmark,DepartmentofMedicalEthics,Facultyofmedicine,Lund
University,SE22222Lund,[Link]:[Link]@[Link]

RurikLfmark2001
PrintedinSwedenbyUniversitetstryckeriet,Lund2000
2

ORIGINALPAPERS
Thedissertationisbasedonthefollowingpapers,whichwillbereferredtointhe
textbytheirromannumerals:
I

LfmarkR,[Link]
formed?JInternMed1997;241:4215

35 LfmarkR,[Link]
andnursesaproposal.ScandJCaringSci1997;11:20711
61 LfmarkR,[Link]
decisions.JInternMed1998;243:1915
IVLfmarkR,[Link],buthow:onewaytotalkwithpatientsaboutforgoing

lifesupport.PostgradMedJ2000;76:2628
22 LfmarkR,[Link]:expectationsofcare
arefirmanddiverse,[Link]
forpublication.
VI LfmarkR,[Link]
[Link].

Reprintsweremadewithkindpermissionfromthepublishers.

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