Literature DB >> 8080470

Resuscitation and senility: a study of patients' opinions.

G S Robertson1.   

Abstract

In the context of 'Do-not-resuscitate' (DNR) decisions, there is a lack of information in the UK on the opinions of patients and prospective patients. Written anonymous responses to questionnaires issued to 322 out-patient subjects showed that 97 per cent would opt for cardiopulmonary resuscitation (CPR) in their current state of health. In the hypothetical circumstance of having advanced senile dementia only 10 per cent would definitely want CPR, with 75 per cent preferring not to have CPR. There were no significant correlations between the responses and sex or age. Of 270 patients asked verbally if they found the questions disturbing, none said they did. These findings show that the great majority of patients would not wish CPR if severely senile, and that patients are not disturbed by questions relating to their choice for or against CPR. This should encourage further investigations of patients' opinions on CPR in a broader range of conditions, and greater use of DNR orders.

Entities:  

Keywords:  Death and Euthanasia; Empirical Approach

Mesh:

Year:  1993        PMID: 8080470      PMCID: PMC1376197          DOI: 10.1136/jme.19.2.104

Source DB:  PubMed          Journal:  J Med Ethics        ISSN: 0306-6800            Impact factor:   2.903


  18 in total

1.  Ethics and communication in do-not-resuscitate orders.

Authors:  T Tomlinson; H Brody
Journal:  N Engl J Med       Date:  1988-01-07       Impact factor: 91.245

2.  Resuscitation decisions in a general hospital.

Authors:  K Stewart; K Abel; G S Rai
Journal:  BMJ       Date:  1990-03-24

3.  Who defines futility?

Authors:  S J Youngner
Journal:  JAMA       Date:  1988-10-14       Impact factor: 56.272

4.  Dementia: a systematic approach to identifying reversible causes.

Authors:  B Reisberg
Journal:  Geriatrics       Date:  1986-04

Review 5.  Do-not-resuscitate orders. Time for reappraisal in long-term-care institutions.

Authors:  D J Murphy
Journal:  JAMA       Date:  1988-10-14       Impact factor: 56.272

6.  Cardiopulmonary resuscitation in the aged. A prospective survey.

Authors:  A Wagner
Journal:  N Engl J Med       Date:  1984-04-26       Impact factor: 91.245

7.  Not to be resuscitated.

Authors:  J F Searle
Journal:  Anaesthesia       Date:  1985-07       Impact factor: 6.955

8.  Dealing with the brain-damaged old--dignity before sanctity.

Authors:  G S Robertson
Journal:  J Med Ethics       Date:  1982-12       Impact factor: 2.903

9.  Recovery and morbidity after daycase anaesthesia. A comparison of propofol with thiopentone-enflurane with and without alfentanil.

Authors:  J M Millar; C F Jewkes
Journal:  Anaesthesia       Date:  1988-09       Impact factor: 6.955

10.  The do-not-resuscitate order. Still too little too late.

Authors:  K Gleeson; S Wise
Journal:  Arch Intern Med       Date:  1990-05
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  4 in total

Review 1.  Discussing cardiopulmonary resuscitation with patients and relatives.

Authors:  K Stewart
Journal:  Postgrad Med J       Date:  1995-10       Impact factor: 2.401

2.  Making an advance directive.

Authors:  G S Robertson
Journal:  BMJ       Date:  1995-01-28

3.  Resuscitation of demented people.

Authors:  J G Evans
Journal:  J Med Ethics       Date:  1994-03       Impact factor: 2.903

4.  Cardiopulmonary resuscitation in the elderly: patients' and relatives' views.

Authors:  G E Mead; C J Turnbull
Journal:  J Med Ethics       Date:  1995-02       Impact factor: 2.903

  4 in total

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