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| Research article summary (published 29 Sep 2002): |
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Increasing use of DNR orders in the elderly worldwide: whose choice is it?
Full Abstract
Most elderly patients die with an order in place that they not be given cardiopulmonary resuscitation (DNR order). Surveys have shown that many elderly in different parts of the world want to be resuscitated, but may lack knowledge about the specifics of cardiopulmonary resuscitation (CPR). Data from countries other than the US is limited, but differences in physician and patient opinions by nationality regarding CPR do exist. Physicians' own preferences for CPR may predominate in the DNR decision making process for their patients, and many physicians may not want the participation of the elderly or believe that it is necessary. More complete and earlier discussions of a wider range of options of care for patients at the end of life have been advocated. The process ought to include education for patients about the process and efficacy of CPR, and for physicians on how to consider the values and levels of knowledge of their patients, whose preferences may differ from their own.
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Author information
Author/s: Cherniack, E P (EP);
Affiliation: Jewish Home and Hospital for the Aged, Jewish Home and Hospital for the Aged, 100 W Kingsbridge Rd., Bronx, NY 10468, USA. middos(-atsign-)lycos.com
Journal and publication information
Publication Type: Journal Article; Review
Journal: Journal of medical ethics (J Med Ethics), published in England. (Language: eng)
Reference: 2002-Oct; vol 28 (issue 5) : pp 303-7
Dates: Created 2002/10/01; Completed 2002/12/13; Revised 2005/11/16;
PMID: 12356958, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
Comments and Corrections
CommentIn: J Med Ethics. 2003 Dec;29(6):372-3. (PMID: 14662822)
CommentIn: J Med Ethics. 2004 Aug;30(4):351-2. (PMID: 15289516)
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