Deciding not to resuscitate in Dutch hospitals

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)
DOI 10.1136/jme.19.4.200
 Save to my reading list
Follow the author(s)
Edit this record
My bibliography
Export citation
Find it on Scholar
Mark as duplicate
Request removal from index
Revision history
Download options
Our Archive

Upload a copy of this paper     Check publisher's policy     Papers currently archived: 29,472
Through your library
References found in this work BETA

No references found.

Add more references

Citations of this work BETA

Add more citations

Similar books and articles
Deciding Not to Resuscitate.R. Gillon - 1989 - Journal of Medical Ethics 15 (4):171-172.
“No Dr. Blue/Do Not Resuscitate”.Jane D. Hoyt - 1981 - Bioethics Quarterly 3 (2):128-132.
Added to PP index

Total downloads
17 ( #305,169 of 2,210,838 )

Recent downloads (6 months)
8 ( #42,573 of 2,210,838 )

How can I increase my downloads?

Monthly downloads
My notes
Sign in to use this feature