Document Detail


The do-not-resuscitate order: outpatient experience and decision-making preferences.
MedLine Citation:
PMID:  2246638     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Do-not-resuscitate (DNR) orders have become a widespread part of modern medical practice. This study examined patient experience and decision-making preferences regarding cardiopulmonary resuscitation. A random sample of 800 outpatients (one half aged over 70 years) was surveyed by questionnaire, with a 51% response rate. While only 11% of patients had ever discussed resuscitation with a physician, 67% had thought about the issue, and 44% had discussed it with someone other than a physician. Patients overwhelmingly preferred to preserve a good quality of life, even if it meant not living longer (93.9%). When asked who they would have help them with DNR decisions, physicians were most often selected, while spouses were the most valued advisors. In a series of scenarios such factors as dementia, drug or alcohol use, age, and pain had a significant effect on a patient's decision about resuscitation. Discussions about DNR issues in the outpatient setting should be encouraged, as patient interest is strong, and greater physician awareness of patients' values and preferences can prevent unwanted resuscitation in the acute setting.
Authors:
M H Ebell; M A Smith; K G Seifert; K Polsinelli
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of family practice     Volume:  31     ISSN:  0094-3509     ISO Abbreviation:  J Fam Pract     Publication Date:  1990 Dec 
Date Detail:
Created Date:  1991-01-10     Completed Date:  1991-01-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7502590     Medline TA:  J Fam Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  630-4; discussion 635-6     Citation Subset:  AIM; E; IM    
Affiliation:
Department of Family Practice, University of Michigan, Ann Arbor.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Decision Making*
Family
Humans
Michigan
Middle Aged
Outpatients / psychology*
Physician-Patient Relations
Quality of Life
Questionnaires
Resuscitation Orders / psychology*
Social Values*
Stress, Psychological

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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