Attitudes of patients' relatives in the end stage of life about do not resuscitate order

End-of-Life Care of a Patient With Pontine Stroke and Prolonged Hospitalization: A Case Report

“…This case brings an important discussion on how physicians should approach the end-of-life care discussion with family members in patients with poor prognosis and those requiring long-term mechanical ventilation support. It has been shown that family members consider the main responsibility of the decision for DNR orders to be from the physician and that physicians may not pay enough attention to the role of the patient’s family in this respect [ 9 ]. In this case, the patient’s family wished for life-prolonging treatment for a patient with a severely compromised medical condition.…”

Assessment of Discordance Between Surrogate Care Goals and Medical Treatment Provided to Older Adults With Serious Illness

“…Perhaps as a consequence, code status orders are often discordant with patient or family preferences, and surrogates are often unable to correctly identify a patient’s current code status during hospitalization . A major challenge with the execution of appropriately timed DNR orders is the surrogate’s fear that the patient will no longer receive other medical care that the surrogate believes is still appropriate . Ensuring that code status is not conflated with a rejection of other interventions is important to documenting code status appropriately.…”

“…32,33 A major challenge with the execution of appropriately timed DNR orders is the surrogate's fear that the patient will no longer receive other medical care that the surrogate believes is still appropriate. 29,[34][35][36][37][38][39][40][41] Ensuring that code status is not conflated with a rejection of other interventions is important to documenting code status appropriately. In addition, physician communication quality is poor when having conversations about code status and when surrogates are involved in making code status order decisions, and code status orders are entered later and closer to the time of the patient's death.…”