Literature DB >> 16473857

Barriers to implementing a policy not to attempt resuscitation in acute medical admissions: prospective, cross sectional study of a successive cohort.

H Fidler1, C Thompson, A Freeman, D Hogan, G Walker, J Weinman.   

Abstract

OBJECTIVE: To establish whether acutely unwell patients admitted to hospital wish to participate in discussions about resuscitation.
DESIGN: Prospective, cross sectional study of a successive cohort of patients.
SETTING: Admission through the emergency department. PARTICIPANTS: 374 adult patients. MAIN OUTCOME MEASURE: Whether acutely unwell patients wished to participate in discussions about resuscitation.
RESULTS: Of the total sample, 74 patients consented to take part in the study and provide full data. Of the remaining patients, 189 could not be approached for practical reasons and 111 did not wish to participate. Of the 74 patients who read the leaflet, 65 (88%) reported having little or no prior knowledge, 70 (96%) understood it, 56 (77.8%) preferred for resuscitation decisions to be discussed with them, and 55 (77.5%) did not mind discussing resuscitation within 24 hours of admission and overall showed a decline in their anxiety score.
CONCLUSION: Many patients admitted through the emergency department for medical reasons cannot participate in their decision not to attempt resuscitation within 24 hours of admission. Patients who were willing to participate rated the information leaflet that was provided positively.

Entities:  

Keywords:  Death and Euthanasia; Empirical Approach

Mesh:

Year:  2006        PMID: 16473857      PMCID: PMC1382542          DOI: 10.1136/bmj.38740.855914.BE

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  3 in total

1.  Implementation of cardiopulmonary resuscitation guidelines in elderly care departments across: a survey of 13 hospitals shows wide variability in practice.

Authors:  Lisa Cauchi; Jane Vigus; Paul Diggory
Journal:  Resuscitation       Date:  2004-11       Impact factor: 5.262

2.  The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI).

Authors:  T M Marteau; H Bekker
Journal:  Br J Clin Psychol       Date:  1992-09

3.  What do patients receiving palliative care for cancer and their families want to be told? A Canadian and Australian qualitative study.

Authors:  Peter Kirk; Ingrid Kirk; Linda J Kristjanson
Journal:  BMJ       Date:  2004-05-19
  3 in total
  4 in total

1.  An audit of "do not attempt resuscitation" decisions in two district general hospitals: do current guidelines need changing?

Authors:  Dylan Harris; Rachel Davies
Journal:  Postgrad Med J       Date:  2007-02       Impact factor: 2.401

2.  Classic cases revisited: Mrs Janet Tracey, resuscitation and the importance of good communication.

Authors:  Piotr Szawarski
Journal:  J Intensive Care Soc       Date:  2015-02-04

3.  A theoretical decision model to help inform advance directive discussions for patients with COPD.

Authors:  Negin Hajizadeh; Kristina Crothers; R Scott Braithwaite
Journal:  BMC Med Inform Decis Mak       Date:  2010-12-20       Impact factor: 2.796

Review 4.  Clinical review: the role of the intensivist and the rapid response team in nosocomial end-of-life care.

Authors:  Andrew K Hilton; Daryl Jones; Rinaldo Bellomo
Journal:  Crit Care       Date:  2013-04-26       Impact factor: 9.097

  4 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.