| Development and use of a decision aid for communication with hospitalized patients about cardiopulmonary resuscitation preference. | |
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MedLine Citation:
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PMID: 19766436 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To develop and evaluate a decision aid related to CPR decision-making for hospitalized patients. METHODS: The development of the decision aid was guided by published recommendations; physicians, nurses, and a clinical ethicist were involved in the process. In-patients over age 55 with serious illnesses and their family were involved in pre-testing and evaluation. RESULTS: Twenty-five patients and 11 family members participated. The majority (23/25, 92% of patients, 7/11, 64% of family) reported the information in the decision aid was 'Very' or 'Extremely' helpful in decisions. More than 70% of patients and family considered the aid to be "acceptable." The decision aid did not appear to bias towards or away from preferences for CPR. Participants did not report significant burden with use (median score 2/10; 1=none, 10=extremely upsetting). All patients and 10 family members recommended the aid be available to all patients. CONCLUSION: The decision aid was felt to be acceptable, feasible, and useful by participants. Future research should evaluate the impact of the decision aid on outcomes including quality of decision-making. PRACTICE IMPLICATIONS: The decision aid can be used to assist with CPR decision-making with seriously ill hospitalized patients. It is available for use on the CARENET website. |
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Authors:
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Christopher Frank; Deborah Pichora; Jeannette Suurdt; Daren Heyland |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Validation Studies Date: 2009-09-18 |
Journal Detail:
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Title: Patient education and counseling Volume: 79 ISSN: 1873-5134 ISO Abbreviation: Patient Educ Couns Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
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Languages: eng Pagination: 130-3 Citation Subset: N |
Copyright Information:
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2009 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Medicine, Queen's University, Ontario, Canada. frankc@providencecare.ca |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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