Summary: Instructions issued by a physician pertaining to the institution, continuation, or withdrawal of life support measures. The concept includes policies, laws, statutes, decisions, guidelines, and discussions that may affect the issuance of such orders.
Publications201 found, 100 shown here
- Increasing use of DNR orders in the elderly worldwide: whose choice is it?E P Cherniack
Jewish Home and Hospital for the Aged, Jewish Home and Hospital for the Aged, 100 W Kingsbridge Rd, Bronx, NY 10468, USA
J Med Ethics 28:303-7. 2002..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...
- Implementing a resuscitation policy for patients at the end of life in an acute hospital setting: qualitative studyFrances Robinson
Palliative Medicine, Sperrin Lakeland Trust, Tyrone County Hospital, Omagh, Co Tyrone, Northern Ireland
Palliat Med 21:305-12. 2007..To explore attitudes and experiences of doctors and nurses regarding cardiopulmonary resuscitation for patients with end stage illness in an acute hospital...
- Documentation on withdrawal of life support in adult patients in the intensive care unitKarin T Kirchhoff
University of Wisconsin, School of Nursing, Madison, Wis, USA
Am J Crit Care 13:328-34. 2004..Chart reviews of this process could be used not only to assess the quality of documentation but also to provide information for quality improvement and research...
- [Withholding and withdrawing treatment, ethical and legal aspects]Reidar Pedersen
Seksjon for medisinsk etikk, Universitetet i Oslo, Postboks 1130 Blindern, 0318 Oslo
Tidsskr Nor Laegeforen 127:1648-50. 2007..In the wake of medical progress an important ethical discussion has arisen about when to withhold and when to withdraw life-sustaining treatment...
- Deciding in the best interest of clients with dementia: the experience of public guardiansHolly A Taylor
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Berman Institute of Bioethics at Johns Hopkins University, Baltimore, Maryland, USA
J Clin Ethics 19:120-6. 2008..Ultimately, guardians took particularly difficult issues to the court and obtained a judge's opinion...
- Hospital do-not-resuscitate orders: why they have failed and how to fix themJacqueline K Yuen
Division of Geriatrics and Gerontology, Weill Medical College, Cornell University, 525 E 68th Street, Box 39, New York, NY 10065, USA
J Gen Intern Med 26:791-7. 2011....
- Early care limitations independently predict mortality after intracerebral hemorrhageD B Zahuranec
Stroke Program, University of Michigan Medical School, Ann Arbor, MI 48109 0316, USA
Neurology 68:1651-7. 2007..Intracerebral hemorrhage (ICH) is associated with a high early mortality rate. We examined the impact of early do not resuscitate (DNR) orders and other limitations in aggressive care on mortality after ICH in a community-based study...
- Effect of noninvasive mechanical ventilation in elderly patients with hypercapnic acute-on-chronic respiratory failure and a do-not-intubate orderPaolo Scarpazza
Divisione di Broncopneumotisiologia, Ospedale Civile, Vimercate, Italy
Int J Chron Obstruct Pulmon Dis 3:797-801. 2008..We conclude that elderly patients with acute hypercapnic ARF with a DNI status can be successfully treated by NIMV...
- A comparative, retrospective, observational study of the prevalence, availability, and specificity of advance care plans in a county that implemented an advance care planning microsystemBernard J Hammes
Gundersen Lutheran Medical Foundation, 1836 South Avenue, La Crosse, WI 54601, USA
J Am Geriatr Soc 58:1249-55. 2010..To determine whether outcomes have changed over time for a managed, systematic approach to advance care planning (ACP)...
- A patient and relative centred evaluation of treatment escalation plans: a replacement for the do-not-resuscitate processL Obolensky
Department of Anaesthesia, Torbay Hospital, Torquay, Devon, UK
J Med Ethics 36:518-20. 2010..Following this study, the TEP has been expanded hospital wide and into the community within our trust. Discussions are currently taking place in hospitals within our region to introduce the TEP form into other local trusts...
- Ethical issues surrounding do not attempt resuscitation orders: decisions, discussions and deleterious effectsZoë Fritz
Department of Acute Medicine, Cambridge University NHS Foundation Trust, Box 275, Hills Road, Cambridge, CB2 0QQ, UK
J Med Ethics 36:593-7. 2010..Finally, the paper explores some alternative methods to approaching the resuscitation decision, and calls for empirical evaluation of such methods that may reduce the ethical dilemmas physicians currently face...
- An audit of nurses' views on DNR decisions in 1989 and 2003Catherine McAdam
University College London Hospital, London
Br J Nurs 14:1061-2, 1064-5. 2005..However, the number of respondents who considered intravenous fluids (18%) or antibiotics (26%) inappropriate for patients not for resuscitation was concerning...
- Interpretation and intent: a study of the (mis)understanding of DNAR orders in a teaching hospitalZoë Fritz
Department of Acute Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Resuscitation 81:1138-41. 2010..We investigated whether this was still the case, and examined what perceptions doctors and nurses had of what care patients with DNAR orders receive...
- Guidelines for perioperative do-not-resuscitate policiesDavid B Waisel
Department of Anesthesiology, Bader 3, Children s Hospital, 300 Longwood Avenue, Boston, MA 02115, USA
J Clin Anesth 14:467-73. 2002..Policies should unambiguously state that reevaluation is required, delineate responsibilities for reevaluating the DNR order, state all the available options, define the necessary documentation, and list resources for help...
- Do-not-resuscitate orders for terminal patients with cancer in teaching hospitals of KoreaDo Yeun Kim
Department of Medical Oncology, Dongguk University International Hospitals, Goyang, Gyeonggi, Republic of Korea
J Palliat Med 10:1153-8. 2007..To examine the current practices relating to do-not-resuscitate (DNR) orders for terminal patients with cancer at teaching hospitals in Korea...
- Characteristics of patients who die in hospital with no attempt at resuscitationSolveig Aune
Department of CPR, Division of Cardiology, Sahlgrenska University Hospital, Gröna Stråket 9, SE 41345 Goteborg, Sweden
Resuscitation 65:291-9. 2005..To describe the characteristics, cause of hospitalisation and symptoms prior to death in patients dying in hospital without resuscitation being started and the extent to which these decisions were documented...
- Family involvement in end-of-life hospital careJeanne M Tschann
Department of Psychiatry, School of Medicine, University of California, San Francisco, California 94143, USA
J Am Geriatr Soc 51:835-40. 2003..To examine whether the end-of-life treatment provided to hospitalized patients differed for those who had a family member present at death and those who did not...
- Choosing between life and death: patient and family perceptions of the decision not to resuscitate the terminally ill cancer patientJaklin Eliott
Royal Adelaide Hospital Cancer Research Centre, and University of Adelaide, Adelaide, South Australia, Australia
Bioethics 22:179-89. 2008..We identify some implications of these empirical observations for the development of ethically appropriate policies and practices regarding patient autonomy and surrogacy at the end of life...
- End-of-life care in the general wards of a Singaporean hospital: an Asian perspectiveJason Phua
Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, Singapore
J Palliat Med 14:1296-301. 2011..Despite international differences in cultural perspectives on end-of-life issues, little is known of the care for the dying in the general wards of acute hospitals in Asia...
- Why do patients agree to a "Do not resuscitate" or "Full code" order? Perspectives of medical inpatientsJames Downar
Department of Medicine, University of Toronto, 200 Elizabeth St 9N 926, Toronto M5G 2C4, Canada
J Gen Intern Med 26:582-7. 2011....
- The practicalities of terminally ill patients signing their own DNR orders--a study in TaiwanC H Huang
Department of Family Medicine, College of Medicine and Hospital, National Taiwan University, No 7, Chuang Shan South Road, Taipei 100, Taiwan
J Med Ethics 34:336-40. 2008..To investigate the current situation of completing the informed consent for do-not-resuscitate (DNR) orders among the competent patients with terminal illness and the ethical dilemmas related to it...
- Palliative surgery in the do-not-resuscitate patient: ethics and practical suggestions for managementThomas H Scott
Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, 19104, USA
Anesthesiol Clin 30:1-12. 2012....
- TRIAD III: nationwide assessment of living wills and do not resuscitate ordersFerdinando L Mirarchi
University of Pittsburgh Medical Center UPMC Hamot, Erie, Pennsylvania, USA
J Emerg Med 42:511-20. 2012..Concern exists that living wills are misinterpreted and may result in compromised patient safety...
- In-advance end-of-life discussions and the quality of inpatient end-of-life care: a pilot study in bereaved primary caregivers of advanced cancer patientsMasanori Mori
Department of Palliative Medicine, Seirei Hamamatsu General Hospital, 2 12 12 Sumiyoshi, Naka ku, Hamamatsu, Shizuoka, 430 8558, Japan
Support Care Cancer 21:629-36. 2013..We hypothesized that in-advance end-of-life (EOL) discussions and establishment of do-not-resuscitate (DNR) status prior to the terminal admission would be associated with better quality of inpatient EOL care...
- Hospital usage of early do-not-resuscitate orders and outcome after intracerebral hemorrhageJ Claude Hemphill
Department of Neurology, University of California, San Francisco, Calif, USA
Stroke 35:1130-4. 2004..Do-not-resuscitate (DNR) orders are commonly used after severe stroke. We hypothesized that there is significant variability in how these orders are applied after intracerebral hemorrhage and that this influences outcome...
- Quality of resuscitation orders in general medical patientsD McNeill
Discipline of General Medicine, Auckland District Health Board, Auckland, New Zealand
QJM 105:63-8. 2012..Its association with mortality, Length Of hospital Stay (LOS) and the patients' primary diagnosis has not been established in general medical inpatients in hospitals in Australia and New Zealand...
- Timing of do-not-resuscitate orders for hospitalized older adults who require a surrogate decision-makerAlexia M Torke
Center for Aging Research, Regenstrief Institute, Indianapolis, IN 46202, USA
J Am Geriatr Soc 59:1326-31. 2011..To examine the frequency of surrogate decisions for in-hospital do-not-resuscitate (DNR) orders and the timing of DNR order entry for surrogate decisions...
- High mortality in surgical patients with do-not-resuscitate orders: analysis of 8256 patientsHadiza Kazaure
Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
Arch Surg 146:922-8. 2011..To evaluate outcomes of patients who undergo surgery with a do-not-resuscitate (DNR) order...
- CPR or DNR? End-of-life decision making on a family practice teaching wardB Calam
St Paul s Hospital Site, Vancouver, BC
Can Fam Physician 46:340-6. 2000..To examine the correlation between a tool predicting the likelihood of benefit from cardiopulmonary resuscitation (CPR) and actual end-of-life decisions made by family physicians and their patients...
- Surrogate decision-making in Korean patients with advanced cancer: a longitudinal studyJune Koo Lee
Department of Internal Medicine, Seoul National University Hospital, 101 Daehak Ro, Jongno gu, Seoul 110 744, South Korea
Support Care Cancer 21:183-90. 2013..The objectives of this study were to investigate the level of surrogate decision-making in advanced cancer patients over time and the impact of demographic and clinical variables on surrogate decision-making...
- Do-not-resuscitate orders and predictive models after intracerebral hemorrhageD B Zahuranec
University of Michigan Cardiovascular Center, 1500 East Medical Center Drive, SPC 5855, Ann Arbor, MI 48109 5855, USA
Neurology 75:626-33. 2010..To quantify the accuracy of commonly used intracerebral hemorrhage (ICH) predictive models in ICH patients with and without early do-not-resuscitate orders (DNR)...
- Impact of do-not-resuscitation orders on quality of care performance measures in patients hospitalized with acute heart failureJoline L T Chen
Renal Section, Boston University School of Medicine, Boston, MA 02118, USA
Am Heart J 156:78-84. 2008..The goals of this observational study were to describe the use of DNR orders and their impact on treatment approaches in residents of a large New England metropolitan area hospitalized with acute heart failure...
- The impact of do-not-resuscitate order on triage decisions to a medical intensive care unitRubin I Cohen
The Division of Pulmonary, Critical Care and Sleep Medicine, The Long Island Jewish Medical Center, The Albert Einstein College of Medicine, New Hyde Park, NY 11044, USA
J Crit Care 24:311-5. 2009..To determine whether the presence of a do-not-resuscitate (DNR) order impacts on triage decisions to a medical intensive care unit (MICU) of an academic medical center...
- "Allow natural death" versus "do not resuscitate": three words that can change a lifeS S Venneman
University of Houston Victoria, Department of Psychology, Victoria, Texas 77901, USA
J Med Ethics 34:2-6. 2008..Prior to this investigation, no scientific papers address the impact of such a change. Our results support this proposition due to increased likelihood of endorsement with the term AND...
- End-of-life decisions in intensive care units: attitudes of physicians in an Italian urban settingAlberto Giannini
Intensive Care Unit, Department of Anaesthesia and Intensive Care, Istituti Clinici di Perfezionamento, Via della Commenda 9, 20122, Milan, Italy
Intensive Care Med 29:1902-10. 2003..To assess the attitudes of physicians in Milan, Italy, intensive care units (ICUs) regarding end-of-life decisions...
- Noninvasive ventilation in patients with "do-not-intubate" orders: medium-term efficacy depends critically on patient selectionRafael Fernandez
Critical Care Center, Hospital de Sabadell, Parc Tauli s n, 08208, Sabadell, Spain
Intensive Care Med 33:350-4. 2007....
- Outcomes of patients with do-not-intubate orders treated with noninvasive ventilationMitchell Levy
Division of Pulmonary, Critical Care and Sleep Medicine, Rhode Island Hospital, USA
Crit Care Med 32:2002-7. 2004..To determine whether diagnosis and bedside observations predict outcomes of patients who have declined intubation but accept noninvasive positive pressure ventilation (NPPV) to treat their respiratory failure...
- Counseling pregnant women who may deliver extremely premature infants: medical care guidelines, family choices, and neonatal outcomesJoseph W Kaempf
Departments of Neonatology and Obstetrics, Providence St Vincent Medical Center, 9205 SW Barnes Rd, Portland, OR 97225, USA
Pediatrics 123:1509-15. 2009....
- How do medical residents discuss resuscitation with patients?J A Tulsky
Robert Wood Johnson Clinical Scholars Program, University of California, San Francisco, USA
J Gen Intern Med 10:436-42. 1995..To describe how medical residents discuss do-not-resuscitate (DNR) orders with patients...
- How do-not-resuscitate orders are utilized in cancer patients: timing relative to death and communication-training implicationsTomer T Levin
Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York 10022, USA
Palliat Support Care 6:341-8. 2008..Despite this, there is little DNR utilization data to guide the design of communication-training programs. The objective of this study was to determine DNR utilization patterns and whether their use is increasing...
- Non-invasive ventilation in do-not-intubate patients: five-year follow-up on a two-year prospective, consecutive cohort studyH H Bülow
Department of Anaesthesiology and Intensive Care, Holbaek Hospital, University of Copenhagen, DK, Denmark
Acta Anaesthesiol Scand 53:1153-7. 2009..End-of-life decisions are common in intensive care units (ICUs), and increasingly, non-invasive ventilation (NIV) is used as a ceiling of ventilatory care. However, little is known about the outcome following that decision...
- Factors associated with discussion of care plans and code status at the time of hospital admission: results from the Multicenter Hospitalist StudyAndrew D Auerbach
University of California San Francisco, UCSF Department of Hospital Medicine, 505 Parnassus Avenue, San Francisco, CA 94143, USA
J Hosp Med 3:437-45. 2008..Hospital admission is a time when patients are sickest and also often encountering an entirely new set of caregivers. As a result, understanding and documenting a patient's care preferences at hospital admission is critically important...
- Improving decision-making and documentation relating to do not attempt resuscitation ordersJ V Butler
Department of Adult Medicine, Caerphilly District Miners Hospital CDMH, Gwent Healthcare NHS Trust and University of Wales College of Medicine, Cardiff, UK
Resuscitation 57:139-44. 2003..We have audited current practices pertaining to DNAR orders in a district hospital before and after the introduction of a standardised order form (SOF)...
- Discussing do-not-resuscitate statusCharles F Von Gunten
Center for Palliative Studies, San Diego, CA, USA
J Clin Oncol 21:20s-25s. 2003
- A physician's guide to talking about end-of-life careR B Balaban
Cambridge Health Alliance, Cambridge, Mass, and Harvard Medical School, Boston, MA, USA
J Gen Intern Med 15:195-200. 2000..By following these 4 steps, communication can be enhanced, fears allayed, pain and suffering minimized, and most end-of-life issues resolved comfortably, without conflict...
- Discussion of the do-not-resuscitate order: a pilot study of perceptions of patients with refractory cancerRebecca D Pentz
Department of Hematology and Oncology, Winship Cancer Institute, Emory University, 1365 Clifton Road NE, B6200, Atlanta, GA 30322, USA
Support Care Cancer 10:573-8. 2002..1). This study supports the importance to the patient of a supportive relationship with the attending physician who is both attuned to the need for comprehensive palliative care and is honest about the prognosis...
- A history of resolving conflicts over end-of-life care in intensive care units in the United StatesJohn M Luce
Department of Medicine and Anesthesia, University of California, San Francisco, and San Francisco General Hospital, San Francisco, CA, USA
Crit Care Med 38:1623-9. 2010..To present a case of conflict over end-of-life care in the intensive care unit (ICU) and to describe how such conflicts have been resolved in the United States since the inception of ICUs...
- DNR directives are established early in mechanically ventilated intensive care unit patientsTasnim Sinuff
Department of Medicine, McMaster University Health Sciences Center, Room 2C11, 1200 Main Street West, Hamilton, Ontario L8N 3Z5, Canada
Can J Anaesth 51:1034-41. 2004..Our objective was to study the rate of establishing do-not-resuscitate (DNR) directives, determinants, and outcomes of those directives for mechanically ventilated patients...
- Cardiopulmonary resuscitation for palliative care patients: a discussion of ethical issuesC Willard
School of Nursing, Midwifery and Health Visiting, University of Manchester, UK
Palliat Med 14:308-12. 2000..This paper considers some of the ethical issues surrounding the use of CPR for palliative care patients in the hospital setting...
- Effect of decisions to withhold life support on prolonged survivalYen Yuan Chen
Department of Bioethics, Case Western Reserve University, Cleveland, OH, USA
Chest 133:1312-8. 2008..We hypothesized that mortality 60 days after ICU admission is not influenced by a decision to withhold use of LST in the context of otherwise providing all indicated care...
- A national survey of end-of-life care for critically ill patientsT J Prendergast
Department of Medicine, Veterans Administration Medical Center, White River Junction, Vermont
Am J Respir Crit Care Med 158:1163-7. 1998..There is wide variation in end-of-life care, and efforts are needed to understand practice patterns and to establish standards of care for patients dying in ICUs...
- Use of the Physician Orders for Life-Sustaining Treatment program in Oregon nursing facilities: beyond resuscitation statusSusan E Hickman
School of Nursing, Oregon Health and Science University, Portland, Oregon 97239, USA
J Am Geriatr Soc 52:1424-9. 2004..To assess statewide nursing facility use of the Physician Orders for Life-Sustaining Treatment (POLST) and to identify the patterns of orders documented on residents' POLST forms...
- The Physician Orders for Life-Sustaining Treatment program: Oregon emergency medical technicians' practical experiences and attitudesTerri A Schmidt
Center for Ethics in Health Care, Oregon Health and Science University, Portland, Oregon 97239, USA
J Am Geriatr Soc 52:1430-4. 2004..To evaluate emergency medical technicians' (EMTs) experiences with the Physician Orders for Life-Sustaining Treatment (POLST) program and learn about attitudes regarding its effectiveness...
- The Medical Emergency Team System and not-for-resuscitation orders: results from the MERIT studyJack Chen
The Simpson Centre for Health Services Research, University of New South Wales, Liverpool Health Service, Locked Bag 7103, Liverpool BC, Sydney, NSW 1871, Australia
Resuscitation 79:391-7. 2008..To examine NFR orders in relation to adverse events and emergency team calls in hospitals with or without a Medical Emergency Team (MET) system during the MERIT study...
- Circumstances surrounding end of life in a pediatric intensive care unitDaniel Garros
Department of Critical Care Medicine, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
Pediatrics 112:e371. 2003..Approximately 60% of deaths in pediatric intensive care units follow limitation or withdrawal of life-sustaining treatment (LST). We aimed to describe the circumstances surrounding decision making and end-of-life care in this setting...
- Evolution of the medical practices and modes of death on pediatric intensive care units in southern BrazilDélio José Kipper
Pediatric Intensive Care Unit, Hospital Sao Lucas, School of Medicine, Pontificia Universidade Catolica do Rio Grande do Sul, Brazil
Pediatr Crit Care Med 6:258-63. 2005..Methods: A cross-sectional study based on a retrospective chart review (1988 and 1998) and on prospective data collection (from May 1999 to May 2000)...
- Cardiopulmonary resuscitation and do-not-resuscitate orders: a guide for cliniciansLaura Loertscher
Department of Internal Medicine, Mayo Clinic, Rochester, Minn, USA
Am J Med 123:4-9. 2010..In this article, we review the history, epidemiology, and determinants of do-not-resuscitate orders, as well as frequently encountered questions and recommended strategies for discussing this important topic with patients...
- A comparison of methods to communicate treatment preferences in nursing facilities: traditional practices versus the physician orders for life-sustaining treatment programSusan E Hickman
School of Nursing, Indiana University, Indianapolis, IN 46202, USA
J Am Geriatr Soc 58:1241-8. 2010....
- Discussing and documenting (do not attempt) resuscitation orders in a Dutch Hospital: a disappointing realityMieke Meilink
Department of Intensive Care, Isala Klinieken, Dr van Heesweg 2, 8025 AB, Zwolle, The Netherlands
Resuscitation 71:322-6. 2006....
- Do-not-resuscitate order after 25 yearsJeffrey P Burns
Department of Anesthesia, Harvard Medical School, Boston, MA, USA
Crit Care Med 31:1543-50. 2003..Since that time, the concept has continued to evolve and evoke much debate. Indeed, few initials in medicine today evoke as much symbolism or controversy as the Do-Not-Resuscitate (DNR) order...
- End-of-life care in the ICU: treatments provided when life support was or was not withdrawnR I Hall
Department of Anesthesia, Dalhousie University, Canada
Chest 118:1424-30. 2000..To compare and contrast use of technology, pharmacology, and physician variability in end-of-life care of ICU patients dying with or without active life support...
- Advance directives: legal remedies and psychosocial interventionsV Lens
Wurzweiler School of Social Work, Yeshiva University, New York, USA
Death Stud 24:377-99. 2000..Implications for practice are discussed, including practical suggestions for increasing the likelihood that a patient's wishes will be respected by medical providers...
- The effect of do-not-resuscitate orders on physician decision-makingMary Catherine Beach
Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
J Am Geriatr Soc 50:2057-61. 2002..Patients with DNR orders may choose to forgo other life-prolonging treatments, but physicians should elicit additional information about patients' treatment goals to inform these decisions...
- DNR orders at a tertiary care hospital--are they appropriate?G Vetsch
Department of Internal Medicine, University Hospital of Bern, Switzerland
Swiss Med Wkly 132:190-6. 2002..The study was conducted in a Swiss tertiary care hospital to investigate the epidemiology, manner of application and appropriateness of DNR orders...
- The POLST (Physician Orders for Life-Sustaining Treatment) paradigm to improve end-of-life care: potential state legal barriers to implementationSusan E Hickman
School of Nursing, Oregon Health and Science University in Portland, Oregon, USA
J Law Med Ethics 36:119-40, 4. 2008..Information was obtained from experts at state emergency medical services and long-term care organizations/agencies in combination with a review of relevant state law...
- Racial variation in the use of do-not-resuscitate ordersL B Shepardson
Division of General Internal Medicine and Health Care Research, Cleveland VA Medical Center, Ohio, USA
J Gen Intern Med 14:15-20. 1999..Identification of factors underlying such differences will improve our understanding of the degree to which expectations for care differ in African American and white patients...
- Dying in the intensive care unit: collaborative multicenter study about forgoing life-sustaining treatment in Argentine pediatric intensive care unitsMaría Althabe
Hospital de Pediatria J P Garrahan, Buenos Aires, Argentina
Pediatr Crit Care Med 4:164-9. 2003..Describe modes of death and factors involved in decision-making together with life support limitation (LSL) procedures...
- Decision making in CPR: attitudes of hospital patients and healthcare professionalsI H Kerridge
Faculty of Medicine and Health Sciences, University of Newcastle, NSW
Med J Aust 169:128-31. 1998..To examine the opinions of patients and healthcare professionals regarding the process of making decisions about cardiopulmonary resuscitation (CPR)...
- Understanding cardiopulmonary resuscitation decision making: perspectives of seriously ill hospitalized patients and family membersDaren K Heyland
Department of Medicine, Kingston General Hospital, ON, Canada
Chest 130:419-28. 2006..To improve communication and decision making related to cardiopulmonary resuscitation (CPR), a greater understanding of the perspectives of hospitalized patients with advanced diseases and their family members are needed...
- Forgoing life sustaining treatments: differences and similarities between North America and EuropeN M Moselli
Unit of Anaesthesiology, Intensive Care and Pain Therapy, Institute for Cancer Research and Treatment IRCC, Candiolo Torino, Italy
Acta Anaesthesiol Scand 50:1177-86. 2006..The objective of this review is to examine policies and attitudes towards end-of-life decisions in Europe and North America and to outline differences and similarities...
- End of life in the pediatric burn patientMichael Shay O'Mara
Shriners Hospital for Children of Northern California, Department of Burns Surgery, Sacramento, California, USA
J Burn Care Res 27:803-8. 2006..Once a decision to limit support was made, the majority of children proceeded rapidly to death. Further evaluation of the indications, timing, and implementation of DNR orders for children with severe burns is warranted...
- Medical end-of-life decisions in NorwayJon Henrik Laake
Resuscitation 57:311-2; author reply 312-3. 2003
- The perceptions of do-not-resuscitate policies of dying patients with cancerIan Olver
Royal Adelaide Hospital Cancer Centre, North Terrace, Adelaide, South Australia
Psychooncology 17:347-53. 2008..If doctors' and patients' assessments of eligibility for DNR orders do not coincide, the process and documentation of decision-making needs revision...
- Clinical ethics consultation: to intubate or not to intubate--Part 1 of a seriesRobert D Orr
University of Vermont College of Medicine, USA
Todays Christ Dr 37:30-1. 2006
- Cardiopulmonary resuscitation: charting a course for the futureS Workman
Department of Medicine, Division of General Internal Medicine, Dalhousie University, Halifax, Canada
QJM 99:711-5. 2006
- Differential medical and surgical house staff involvement in end-of-life decisions: A retrospective chart reviewAmy S Kelley
Department of Medicine, New York Presbyterian Hospital Weill Medical College of Cornell University, New York, New York 10021, USA
J Pain Symptom Manage 32:110-7. 2006..These findings have significant implications for the education of house officers on end-of-life communication...
- Discussing cardiopulmonary resuscitation with patientsS Attwood
Delancey Assessment and Rehabilitation Hospital, East Gloucestershire NHS Trust, Cheltenham, Gloucestershire
Br J Nurs 10:1201-7. 2001....
- Current opinion in pediatrics: ethics and law 2001William Meadow
Department of Pediatrics and MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, Illinois 60637, USA
Curr Opin Pediatr 14:170-3. 2002
- Concordance of preferences for end-of-life care between terminally ill cancer patients and their family caregivers in TaiwanSiew Tzuh Tang
Graduate School of Nursing, Chang Gung University, Taipei, Taiwan, ROC
J Pain Symptom Manage 30:510-8. 2005..To effect real change and to gain increased agreement on preferences for end-of-life care, an open dialogue between patients and their primary family caregivers should become standard...
- End of life in ICU--care of the dying or 'pulling the plug'?N Collins
Dept of Intensive Care Medicine, Mater Hospital, Eccles St, Dublin
Ir Med J 99:112-4. 2006..Artificial nutrition and hydration were rarely withdrawn...
- Cardiopulmonary resuscitation: capacity, discussion and documentationM Harkness
Department of Elderly Medicine, Leeds General Infirmary, Leeds, UK
QJM 99:683-90. 2006..Aim: To assess the prevalence and documentation of CPR decisions in our hospital in patients aged > 65 years...
- When is dead, dead? The ethics of resuscitation in emergency careReneé Semonin Holleran
University Air Care, University Hospital, 5804 Mount Vernon, Milford, Ohio 45510, USA
Nurs Clin North Am 37:11-8, v. 2002....
- Our cultures, our selves: toward an honest dialogue on race and end-of-life decisionsMark G Kuczewski
Loyola University Chicago Stritch School of Medicine, USA
Am J Bioeth 6:13-7; discussion W30-2. 2006
- [Discontinuation of futile therapy]Hans Henrik Bulow
Holbaek Sygehus, Intensiv Afdeling
Ugeskr Laeger 169:717-9. 2007..However, there are major differences as to how the law is acted upon. Guidelines for futile intensive care treatment should therefore be worked out, and uncritical referral of patients to the ICU avoided...
- [Do-not-resuscitate orders--ethical and legal considerations]Nicola Hvidt Ballin
Hvidovre Hospital, Gastroenheden, Medicinsk Sektion
Ugeskr Laeger 169:1201-4. 2007..Patients with do-not-resuscitate orders may be subject to other therapeutic reductions. In conclusion, patient autonomy should also be respected in the case of do-not-resuscitate orders...
- Doctors' authoritarianism in end-of-life treatment decisions. A comparison between Russia, Sweden and GermanyJ Richter
Clinic for Psychiatry and Psychotherapy, University of Rostock, Germany
J Med Ethics 27:186-91. 2001..The inconsistency in the treatment decisions of doctors from different countries calls for social consensus in this matter...
- Withdrawing life-sustaining treatment from minimally conscious patients: who decides?B J Anderson
J Med Pract Manage 18:101-3. 2002
- [Treatment withdrawal]Reidar Pedersen
Tidsskr Nor Laegeforen 128:477; author reply 477-8. 2008
- To die, to sleep: US physicians' religious and other objections to physician-assisted suicide, terminal sedation, and withdrawal of life supportFarr A Curlin
Pritzker School of Medicine, Universtiy of Chicago, Chicago, IL 60637, USA
Am J Hosp Palliat Care 25:112-20. 2008....
- Need to prioritise: end-of-life decision-making in IndiaA Singh
Eur Respir J 31:222-3. 2008
- [End of life at intensive care units]Jon Henrik Laake
Tidsskr Nor Laegeforen 127:3235. 2007
- Studying communication about end-of-life care during the ICU family conference: development of a frameworkJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, WA, USA
J Crit Care 17:147-60. 2002..The purpose of this study was to develop an understanding of the way this communication is currently conducted...
- The best interests test at the end of life on PICU: a plea for a family centred approachD Inwald
Paediatric Intensive Care Unit, 7th Floor, QEQM Building, St Mary s Hospital, Imperial College Healthcare NHS Trust, Praed Street, London W2 1NY, UK
Arch Dis Child 93:248-50. 2008..These criticisms could be largely addressed by taking into account the interests of others, particularly the interests of close family members...
- Independent evaluation of an out-of-hospital termination of resuscitation (TOR) clinical decision rulePeter B Richman
Bureau of Emergency Medical Services and Trauma Systems, Arizona Department of Health Services, Phoenix, AZ, USA
Acad Emerg Med 15:517-21. 2008..The authors sought to evaluate the hypothesis that TOR would predict no survival for patients in an independent cohort of patients with OOHCA...
- End-of-life decision-making in respiratory intermediate care units: a European surveyS Nava
Respiratory Intensive Care Unit, Fondazione S Maugeri, I R C C S, Istituto Scientifico di Pavia, Via Maugeri 10, 27100 Pavia, Italy
Eur Respir J 30:156-64. 2007..Withholding of treatment, do-not-intubate/do-not-resuscitate orders and noninvasive mechanical ventilation as the ventilatory care ceiling are the most common procedures. Competent patients are often involved, together with nurses...
- Physicians attitudes toward DNR of terminally ill cancer patients in TaiwanCo Shi Chantal Chao
Department of Nursing, College of Medicine, National Cheng Kung University
J Nurs Res 10:161-7. 2002..The DNR order finally gained its legal base for medical practice. The limitation of this study was the low response rate. However, since the subjects, physicians, had a busy work load, this was still an acceptable response rate...
- Do Not Resuscitate orders and older patients: findings from an ethnographic study of hospital wards for older peopleJohn Costello
University of Manchester, Piccadilly South, UK
J Adv Nurs 39:491-9. 2002..The study aimed to explore the way in which terminal care was provided to older patients and examined the way in which DNR orders were a socially constructed part of the practices of both nurses and doctors...
- Ethics ain't easy: do we need simple rules for complicated ethical decisions?Annie Janvier
Paediatrics, McGill University, Montreal, Quebec, Canada
Acta Paediatr 97:402-6. 2008..Recommendations from national bodies regarding extremely preterm infants have focussed almost exclusively on thresholds for intervention based upon estimated gestational age (GA) alone...
- Quality of life to the endIlora G Finlay
Wales College of Medicine, Velindre NHS Trust, Cardiff, UK
Commun Med 2:91-5. 2005..The pivotal role of good communication is the route to ensuring that issues are addressed, with hope maintained for the patient to live as well as possible until they die, and that patients' quality of life is maximized...
- Caring for patients and families at the end of life: withdrawal of intensive care in the patient's homeSue Mann
Clinical Charge Nurse, Department of Intensive Care Medicine, Middlemore Hospital, Auckland, New Zealand
N Z Med J 117:U935. 2004..To describe our experience of transporting 17 intensive care patients home to die...
- Secondary Brain Injury in Intracerebral HemorrhageJESSE HEMPHILL; Fiscal Year: 2005..In conjunction with the didactic training and mentoring undertaken, this program will foster Dr. Hemphill's development into an independent researcher in neurologic critical care, specifically focusing on intracerebral hemorrhage. ..
- Palliative Care Curriculum for 3rd-Year Medical StudentsCharles von Gunten; Fiscal Year: 2007..Data will be compared with residents who have not been through the course as well as with residents and faculty participating in another study of education. ..
- Academic Palliative CareCharles von Gunten; Fiscal Year: 2008..All reentered investigators are seeking NCI funding and have the potential to become independent investigators. ..
- Health Outcomes for Uninsured Older Adults-IIDavid Baker; Fiscal Year: 2003..abstract_text> ..
- Literacy and Mortality Among Elderly PersonsMichael Wolf; Fiscal Year: 2006..unreadable] [unreadable] [unreadable]..
- Implementing Evidence-Based Guidelines for Treating NHAPEvelyn Hutt; Fiscal Year: 2007..unreadable] [unreadable]..
- RCT Evaluating Improvement Strategies for Addiction TxDavid H Gustafson; Fiscal Year: 2010..This study should create a practical model for improving efficiency and effectiveness of addiction treatment. ..
- Web-Based Support for Informal Caregivers in CancerDavid Gustafson; Fiscal Year: 2006..We also hypothesize that CGCHESS+CR will improve the outcomes more and that minority caregivers will benefit more than Caucasians. Our process analyses will study the mechanisms of CHESS effect. ..
- Internet Telehealth for Pediatric Asthma Case ManagementDavid Gustafson; Fiscal Year: 2006..Nursing care management and CHESS have both been shown to have positive outcomes in chronic disease management, however this is the first opportunity to study them in combination. ..
- Converting Treatment Wishes into Orders at End of LifeSusan Hickman; Fiscal Year: 2007....
- Aging and Supportive Care in Advanced CancerJulia Rose; Fiscal Year: 2007..Results from this study, will be disseminated to inform area-based care initiative. ..
- Patient-Centeredness in Care of Vulnerable PopulationsMary Catherine Beach; Fiscal Year: 2007..abstract_text> ..
- Ischemic Arrest, Cytokines, and Organ DysfunctionJames Niemann; Fiscal Year: 2008..In aim 3, the effect of anti-TNF therapy on long-term survival and neurologic outcome will be evaluated. [unreadable] [unreadable]..
- Nursing Homes Response to Quality Indictors PublicationDana Mukamel; Fiscal Year: 2008..Statistical regression techniques will be used to analyze the data and test specific hypotheses. ..
- Feeding Tube Use Among Persons with Advanced DementiaJoan Teno; Fiscal Year: 2008..Knowledge gained will be used to inform public policy and formulate facility interventions to ensure that FT insertion in persons with severe cognitive impairment is ethically appropriate. [unreadable] [unreadable] [unreadable]..
- Team Performance and Quality of Care in Nursing HomesHelena Temkin Greener; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Toward Optimal End-of-Life Care in the PICURobert Truog; Fiscal Year: 2010....
- Dietary Fiber and Cardiovascular Inflammatory MarkersDana King; Fiscal Year: 2006..This information could serve to guide constructive changes in nutritional guidelines for reducing CVD risk for millions of at-risk individuals. ..
- Multifaceted Interventions to Ameliorate Pain/SymptomsJoan Teno; Fiscal Year: 2005....
- IMPLEMENTATION OF COMPUTER-BASED HEALTH SUPPORT SYSTEMSDavid Gustafson; Fiscal Year: 2002..abstract_text> ..
- COMPUTER INFO, SUPPORT & PLATFORM IMPACT--BREAST CANCERDavid Gustafson; Fiscal Year: 2001..Implications for systems design will result. ..
- NEWBORN GENETIC SCREENING:FOR WHOSE BENEFIT?Lainie Ross; Fiscal Year: 2005..OUTCOMES: The major outcomes will be a series of peer-reviewed articles and a full-length book entitled Newborn Genetic Screening: In whose Interest? For whose Benefit? ..
- RESIDENT ASSESSMENT OF PAIN MANAGEMENT (RAPM)Joan Teno; Fiscal Year: 2001..abstract_text> ..
- Balancing Hope & Truth-Telling for Patients with Ca/COPDJ Curtis; Fiscal Year: 2005..These strategies will be described and translated into interventions targeting nurses, physicians, and teams who provide care for patients with cancer, COPD, and other life-limiting diseases. ..
- Racial Disparity in Access High Quality Cardiac SurgeonsDana Mukamel; Fiscal Year: 2005..The knowledge gained in this project is essential for development of targeted programs that could successfully address the disparity in access to high quality cardiac care among elderly racial minorities. ..
- HOSPITAL PERFORMANCE & BETA-BLOCKER USE AFTER AMIHarlan Krumholz; Fiscal Year: 2001..abstract_text> ..
- SLEEP, FATIGUE, AND DEXAMETHOSONE IN CHILDHOOD CANCERPamela Hinds; Fiscal Year: 2003..Our study findings will explicate the relationship between sleep efficiency and fatigue, and between sleep, fatigue, and systemic exposure to dexamethasone. ..
- Cancer Assessments and Reports of End-of-Life TreatmentJoan Teno; Fiscal Year: 2005..Such tools will allow institutions to measure whether cancer care is meeting patient and family members' needs and expectations. ..
- Nursing Homes Quality and Variations in State RegulationsDana B Mukamel; Fiscal Year: 2010..S. population. ..
- STRUCTURE, PROCESS AND OUTCOMES IN THE PACE PROGRAMDana Mukamel; Fiscal Year: 2003..The knowledge gained from this study would have direct bearing on efforts to improve care in PACE programs, as well as implications for other programs serving frail, non-institutionalized elderly. ..
- Evaluating Quality of Long Term CareDavid Zingmond; Fiscal Year: 2008..3. Examine the impact of process of care on maintaining independence and function, preventing over-utilization, and decreasing mortality among home care recipients. ..
- Telemonitoring to improve heart failure outcomesHarlan Krumholz; Fiscal Year: 2008..abstract_text> ..
- End-of-Life Research Ethics: Concerns, Approaches, and ImpactSusan Hickman; Fiscal Year: 2009....
- ICU CULTURE AND PROBLEMATIC TREATMENT LIMITATION CASESJUDITH BAGGS; Fiscal Year: 2002..With a description of such barriers and facilitators, it will be possible to design interventions to serve patients' interests and be mutually acceptable to patients, families, and health care providers. ..
- Partnering to Empower Near East Side Family CaregiversMARY MEEKER; Fiscal Year: 2008..The long term objective of these efforts is to provide culturally appropriate supportive interventions for African American caregivers throughout our community. [unreadable] [unreadable] [unreadable] [unreadable]..
- The Quality of Life of Nursing Home ResidentsHoward Degenholtz; Fiscal Year: 2006....
- Improving Care for Children with Advanced CancerJoanne Wolfe; Fiscal Year: 2006..abstract_text> ..
- Improving use of peri-operative beta-blockers with a multidimentional QI programAndrew Auerbach; Fiscal Year: 2009..The impact of this set of tools will be substantial as groups such as the NSQIP, SCIP, National Quality Forum, and Leapfrog Group continue to endorse PBB as a key strategy to reduce surgical morbidity and mortality. ..
- Strategies to reduce time to reperfusion therapy for MIHarlan Krumholz; Fiscal Year: 2005..Data generated from these studies will guide efforts by clinicians, administrators, researchers, and policy makers to decrease time to reperfusion therapy for patients with STEMI. ..
- Improving Physician Skill at Providing End-of-Life CareJ Curtis; Fiscal Year: 2004..The results will allow investigators and others to develop targeted educational and systemic interventions to improve the quality of this care. ..
- Family Centered Advance Care PlanningMaureen Lyon; Fiscal Year: 2007..abstract_text> ..
- Endothelial progenitor cells and surgical outcomesAndrew Auerbach; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- SLEEP HEART HEALTH STUDYHelaine Resnick; Fiscal Year: 2007..Accomplishing these goals will provide important information concerning the public health impact of SDB. ..
- Exercise in Patients with Advanced NSCLC: A Pilot StudyJennifer Temel; Fiscal Year: 2005..abstract_text> ..
- The Obese Critical III: Process and Outcome DisparitiesJames O Brien; Fiscal Year: 2008..These studies will describe the effect of excess body weight on critical illness and produce a new type of independent investigator - the ICU health services researcher. ..
- End-of-Life Decision Making in ICUs: Roles and Relationships of Key PlayersJudith Gedney Baggs; Fiscal Year: 2010..The study will help support interventions respectful of the perspectives of all participants in EOLDM. ..
- Improving Reporting of Race, Ethnicity, and Language in CaliforniaDAVID SCOTT ZINGMOND; Fiscal Year: 2010..Results can be used to more accurately identify and address potential health and healthcare disparities arising through issues related to race, ethnicity, and language. ..
- Outcomes of Traumatic Brain InjuryHeather Keenan; Fiscal Year: 2007..In addition to publications, data from this mentored research will be used to develop additional, independent research awards. ..