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Do not resuscitate decisions: discussions with patients.

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Affiliations

  • 1. University of Illinois, Chicago.
      Authors
    • Schade SG 1
    (1 author)

Journal of Medical Ethics, 01 Dec 1989, 15(4):186-190
https://doi.org/10.1136/jme.15.4.186 PMID: 2614787 PMCID: PMC1375832

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Abstract 

The problem of psychological pain caused by discussions of do not resuscitate status with patients is addressed. Case histories of patients with such distress are given. We propose that not all patients should be informed of their do not resuscitate status, that the information about such status be given incrementally, and that the giving of further information be guided by the patient's reaction to earlier information. While some affirm the duty of the physician always to inform the patient about his or her do not resuscitate status, we affirm the duty of the physician to determine whether the patient wishes to enter into this discussion.

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Logo of jmedethLink to Publisher's site
J Med Ethics. 1989 Dec; 15(4): 186–190.
PMCID: PMC1375832
PMID: 2614787

Do not resuscitate decisions: discussions with patients.

S G Schade and H Muslin
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Abstract

The problem of psychological pain caused by discussions of do not resuscitate status with patients is addressed. Case histories of patients with such distress are given. We propose that not all patients should be informed of their do not resuscitate status, that the information about such status be given incrementally, and that the giving of further information be guided by the patient's reaction to earlier information. While some affirm the duty of the physician always to inform the patient about his or her do not resuscitate status, we affirm the duty of the physician to determine whether the patient wishes to enter into this discussion.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Ruark JE, Raffin TA. Initiating and withdrawing life support. Principles and practice in adult medicine. N Engl J Med. 1988 Jan 7;318(1):25–30. [Abstract] [Google Scholar]
  • Angell M. Respecting the autonomy of competent patients. N Engl J Med. 1984 Apr 26;310(17):1115–1116. [Abstract] [Google Scholar]
  • Muslin H, Schade S. On the do not resuscitate policy. Perspect Biol Med. 1988 Winter;31(2):285–290. [Abstract] [Google Scholar]
  • Spencer SS. Sounding board. "Code" or "no code": a nonlegal opinion. N Engl J Med. 1979 Jan 18;300(3):138–140. [Abstract] [Google Scholar]
  • Bedell SE, Pelle D, Maher PL, Cleary PD. Do-not-resuscitate orders for critically ill patients in the hospital. How are they used and what is their impact? JAMA. 1986 Jul 11;256(2):233–237. [Abstract] [Google Scholar]
Articles from Journal of Medical Ethics are provided here courtesy of BMJ Publishing Group

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Read article at publisher's site: https://doi.org/10.1136/jme.15.4.186

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