Resuscitation policy should focus on the patient, not the decision

نویسندگان

  • Zoë Fritz
  • Anne-Marie Slowther
  • Gavin D Perkins
چکیده

Do not attempt cardiopulmonary resuscitation (DNACPR) decisions are made commonly in healthcare but can be a source of ethical concern and legal challenge. They differ from other healthcare decisions because they are made in anticipation of a future event and concern withholding, rather than giving, a treatment. DNACPR decisions were introduced to protect patients from invasive treatments that had little or no chance of success. However, inconsistencies in decision making, communication, and documentation have led to misunderstandings about what DNACPRmeans and to delivery of poorer care to some patients. Here we discuss the problems with current practice and outline newer approaches that place the patient, and their family, at the centre of the discussions. We focus on overall treatment plans and supporting clinicians and patients to make shared decisions about emergency treatments. DNACPR decisions

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عنوان ژورنال:

دوره 356  شماره 

صفحات  -

تاریخ انتشار 2017