| Ethical issues surrounding do not attempt resuscitation orders: decisions, discussions and deleterious effects. | |
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MedLine Citation:
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PMID: 20675736 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Since their introduction as 'no code' in the 1980s and their later formalization to 'do not resuscitate' orders, such directions to withhold potentially life-extending treatments have been accompanied by multiple ethical issues. The arguments for when and why to instigate such orders are explored, including a consideration of the concept of futility, allocation of healthcare resources, and reaching a balance between quality of life and quality of death. The merits and perils of discussing such decisions with patients and/or their relatives are reviewed and the unintended implications of 'do not attempt resuscitation' orders are examined. Finally, the paper explores some alternative methods to approaching the resuscitation decision, and calls for empirical evaluation of such methods that may reduce the ethical dilemmas physicians currently face. |
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Authors:
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Zoë Fritz; Jonathan Fuld |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-07-31 |
Journal Detail:
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Title: Journal of medical ethics Volume: 36 ISSN: 1473-4257 ISO Abbreviation: J Med Ethics Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7513619 Medline TA: J Med Ethics Country: England |
Other Details:
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Languages: eng Pagination: 593-7 Citation Subset: E; IM |
Affiliation:
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Department of Acute Medicine, Cambridge University NHS Foundation Trust, Box 275, Hills Road, Cambridge, CB2 0QQ, UK. zoefritz@gmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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