David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 19 (4):200-205 (1993)
The use of do not resuscitate (DNR) orders in Dutch hospitals was studied as part of a nationwide study on medical decisions concerning the end of life. DNR decisions are made in 6 per cent of all admissions, and 61 per cent of all in-hospital deaths were preceded by a DNR decision. We found that in only 14 per cent of the cases had the patients been involved in the DNR decision (32 per cent of competent patients). The concept of futility is analysed as these findings are discussed. We conclude that determining the effectiveness of resuscitation is a medical judgement whereas determining the proportionality (burden/benefit ratio) of it requires a discussion between doctor and patient (or his or her surrogates). Since the respondents in the cases without patient involvement gave many reasons for their decision that went beyond determining effectiveness, we conclude that more patient involvement would have been desirable
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Pascal Borry, Paul Schotsmans & Kris Dierickx (2005). The Birth of the Empirical Turn in Bioethics. Bioethics 19 (1):49–71.
Similar books and articles
H. M. Buiting, J. K. M. Gevers, J. A. C. Rietjens, B. D. Onwuteaka-Philipsen, P. J. van Der Maas, A. van Der Heide & J. J. M. van Delden (2008). Dutch Criteria of Due Care for Physician-Assisted Dying in Medical Practice: A Physician Perspective. Journal of Medical Ethics 34 (9):e12-e12.
R. Gillon (1989). Deciding Not to Resuscitate. Journal of Medical Ethics 15 (4):171-172.
Cynthia J. Stolman, John J. Gregory & Dorothea Dunn (1991). Do Not Resuscitate Policies of New Jersey Hospitals. HEC Forum 3 (2):77-85.
Johannes J. M. van Delden, Loes Pijnenborg & Paul J. van der Maas (1993). Reports From the Netherlands. Dances with Data. Bioethics 7 (4):323-329.
H. M. Buiting, M. A. C. Karelse, H. A. A. Brouwers, B. D. Onwuteaka-Philipsen, A. van Der Heide & J. J. M. van Delden (2010). Dutch Experience of Monitoring Active Ending of Life for Newborns. Journal of Medical Ethics 36 (4):234-237.
Wiep van Bunge (2001). From Stevin to Spinoza: An Essay on Philosophy in the Seventeenth-Century Dutch Republic. Brill.
Marcel Van Der Linden (1997). Marx and Engels, Dutch Marxism and the "Model Capitalist Nation of the Seventeenth Century". Science and Society 61 (2):161 - 193.
Wiep van Bunge (ed.) (2003). The Dictionary of Seventeenth and Eighteenth-Century Dutch Philosophers. Thoemmes Press.
B. A. M. Hesselink, B. D. Onwuteaka-Philipsen, A. J. G. M. Janssen, H. M. Buiting, M. Kollau, J. A. C. Rietjens & H. R. W. Pasman (2012). Do Guidelines on Euthanasia and Physician-Assisted Suicide in Dutch Hospitals and Nursing Homes Reflect the Law? A Content Analysis. Journal of Medical Ethics 38 (1):35-42.
J. M. Cuperus-Bosma, G. van Der Wal, C. W. Looman & P. J. van Der Maas (1999). Assessment of Physician-Assisted Death by Members of the Public Prosecution in The Netherlands. Journal of Medical Ethics 25 (1):8-15.
H. M. Buiting, A. van Der Heide, B. D. Onwuteaka-Philipsen, M. L. Rurup, J. A. C. Rietjens, G. Borsboom, P. J. van Der Maas & J. J. M. van Delden (2009). Physicians' Labelling of End-of-Life Practices: A Hypothetical Case Study. Journal of Medical Ethics 36 (1):24-29.
Hilde Buiting, Johannes van Delden, Bregje Onwuteaka-Philpsen, Judith Rietjens, Mette Rurup, Donald van Tol, Joseph Gevers, Paul van Der Maas & Agnes van Der Heide (2009). Reporting of Euthanasia and Physician-Assisted Suicide in the Netherlands: Descriptive Study. BMC Medical Ethics 10 (1):18-.
M. Dol, Soemini Kasanmoentalib, Susanne Lijmbach, E. Rivas & Ruud van den Bos (2002). Animal Consciousness and Animal Ethics. Van Gorcum and Co.
Ellen Fox, Sarah Myers & Robert A. Pearlman (2007). Ethics Consultation in United States Hospitals: A National Survey. American Journal of Bioethics 7 (2):13 – 25.
Jane D. Hoyt (1981). “No Dr. Blue/Do Not Resuscitate”. Bioethics Quarterly 3 (2):128-132.
Added to index2010-09-13
Total downloads3 ( #483,044 of 1,727,104 )
Recent downloads (6 months)1 ( #369,877 of 1,727,104 )
How can I increase my downloads?