DNR orders in the OR.
نویسندگان
چکیده
Patients with do-not-resuscitate (DNR) orders may elect to have palliative surgery. Should DNR orders be automatically suspended in the operating room (OR)? This article addresses the following issues: (1) Ethics of DNR orders. (2) The American Society of Anesthesiology's Ethical Guidelines for the Anesthesia Care of Patients with Do-Not-Resuscitate Orders or Other Directives that Limit Treatment. (3) The Statement of the American College of Surgeons on Advance Directives by Patients. (4) Current hospital policies regarding perioperative DNR policies in Hawaii. (5) Recommendations to improve DNR policies in the OR.
منابع مشابه
نگرش دانشجویان پرستاری دانشگاه‌های علوم پزشکی تبریز و کردستان در مورد دستور عدم احیا
Do not resuscitate order (DNR) is one of the most challenging issues in end of life care. The attitude of health care providers has an important role in legalization of this procedure. The aim of the present study was to investigate the viewpoints of nursing students on DNR orders. One hundred and eighty six nursing students from Tabriz University of Medical Sciences (TUOMS) and Kurdistan Unive...
متن کاملDo-not-resuscitate orders, quality of care, and outcomes in veterans with acute ischemic stroke. Author response.
OBJECTIVE There is concern that do-not-resuscitate (DNR) orders may lead to stroke patients receiving less aggressive treatment and poorer care. Our objectives were to assess the relationship between DNR orders and quality of stroke care among veterans. METHODS A cohort of 3,965 acute ischemic stroke patients admitted to 131 Veterans Health Administration (VHA) facilities in fiscal year 2007 ...
متن کاملEffect of Timing of Do-Not-Resuscitate Orders on the Clinical Outcome of Critically Ill Patients
Background: Many physicians hesitate to discuss do-not-resuscitate (DNR) orders with patients or family members in critical situations. In the intensive care unit (ICU), delayed DNR decisions could cause unintentional cardiopulmonary resuscitation, patient distress, and substantial cost. We investigated whether the timing of DNR designation affects patient outcome in the medical ICU. Methods: W...
متن کاملDo-not-resuscitate orders in patients hospitalized with acute myocardial infarction: the Worcester Heart Attack Study.
BACKGROUND Coronary heart disease is the leading cause of death in Americans. Despite increased interest in end-of-life care, data regarding the use of do-not-resuscitate (DNR) orders in acutely ill cardiac patients remain extremely limited. The objectives of this study were to describe use of DNR orders, treatment approaches, and hospital outcomes in patients with acute myocardial infarction. ...
متن کاملImpediments to writing do-not-resuscitate orders.
BACKGROUND Physicians are frequently unaware of their patients' desires regarding end-of-life care. Consequently, opportunities to implement do-not-resuscitate (DNR) orders are often missed. OBJECTIVE To determine the reasons attending physicians do not write DNR orders when patients face increased mortality. METHODS Over 4 months, the medical records of all inpatients on the General Medici...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Hawaii medical journal
دوره 60 3 شماره
صفحات -
تاریخ انتشار 2001