Do-not-resuscitate order: a view throughout the world

Santonocito, Cristina; Ristagno, Giuseppe; Gullo, Antonino; Weil, Max Harry

doi:10.1016/j.jcrc.2012.07.005

Cited by 62 publications

(56 citation statements)

References 30 publications

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“…21 There is evidence of the lack of DNR order policy worldwide. Therefore, it appears clear that there is a need for standardization.…”

Section: Dnr In Practicementioning

confidence: 99%

“…To improve the attitude about the DNR order, it is necessary to achieve several goals such as: increased communication, consensus on law, increased trust among patients and health care systems, and improved standards and quality of care to respect the patient's will and the family's role. 21 Hospitals are required to have a do-not-resuscitate (DNR) policy in place.Practitioners are advised to first consider what is best for the patient and, when in doubt, to communicate with patients or surrogates and with colleagues to arrive at the most appropriate care plan. If irreconcilable conflicts arise, consultation with the institution's bioethics committee, if available, is beneficial to help reach a resolution.…”

Section: Dnr In Practicementioning

confidence: 99%

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Do-Not-Resuscitate Orders: Islamic viewpoint

Hassan

Ali²

2018

Int. J. Hum. Health Sci.

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It is imperative to seek remedy in life-threatening situations. When treatment benefit is doubted, seeking remedy becomes facultative. If the treatment is futile, there is no need to continue. Resuscitation has the ability to reverse premature death. It can also prolong terminal illness, increase discomfort, and consume resources. The do-not-resuscitate (DNR) order and advance directives are still a debated issue in critical care patients.The DNR order in the case of terminal illness is encouraged in Islam.

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“…21 There is evidence of the lack of DNR order policy worldwide. Therefore, it appears clear that there is a need for standardization.…”

Section: Dnr In Practicementioning

confidence: 99%

Section: Dnr In Practicementioning

confidence: 99%

Do-Not-Resuscitate Orders: Islamic viewpoint

Hassan

Ali²

2018

Int. J. Hum. Health Sci.

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“…In Europe, between 50% and 60% of patients which had sudden death in hospitals of countries such as Holland, Switzerland, Denmark and Sweden have declared individual decision of non resuscitation 3 . However, the global scenario related to professionals' conduct is not uniform, due to the differentiated cultural factor and to the lack of consensus and global guidelines 4 .…”

Section: Terminally Ill Patients' Do Not Resuscitate Orders From the mentioning

confidence: 99%

Ordem de não reanimar pacientes em fase terminal sob a perspectiva de médicos

2016

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The do-not-resuscitate order is the explicit statement by patients with advanced disease in progression refusing cardiopulmonary resuscitation. This study aimed to describe the attitude of physicians in relation to the this order and the need for its regulation. A questionnaire was applied to 80 physicians in the medical bureau of the Regional Council of Medicine of Joacaba/SC, Brazil. It was found that 90% of the respondents knew the meaning of do-not-resuscitate, 86.2% agreed to respect it, 91.2% considered it important to be registered in medical records and 92.5% understood as opportune the issuance of a regulation in this regard. It was concluded that most doctors knew about the do-not-resuscitate order, agreed to respect it, valued its registration in medical records and wanted its regulation by the relevant bodies. Keywords: Terminally ill. Bioethics. Resuscitation orders. Heart massage. Respiration, artificial. Medical futility. ResumoOrdem de não reanimar pacientes em fase terminal sob a perspectiva de médicos Ordem de não reanimar consiste na manifestação expressa da recusa de reanimação cardiopulmonar por paciente com doença avançada em progressão. Objetivou-se descrever a atitude dos médicos em relação à ordem de não reanimar e à necessidade de sua normatização. Foi aplicado questionário a 80 médicos inscritos na delegacia do Conselho Regional de Medicina de Joaçaba/SC, Brasil. Verificou-se que 90% dos participantes conheciam o significado dessa ordem, 86,2% concordavam em acatá-la, 91,2% consideravam importante seu registro em prontuário e 92,5% consideravam oportuna a emissão de normatização a respeito. Concluiu-se que a maioria dos médicos tinha conhecimento sobre Ordem de Não Reanimar, concordava em respeitá-la, valorizava seu registro em prontuário e desejava a normatização por parte dos órgãos competentes. Palavras-chave: Doente terminal. Bioética. Ordens de não ressuscitar. Massagem cardíaca. Respiração artificial. Futilidade médica. ResumenLa orden de no reanimar a los pacientes en fase terminal bajo la perspectiva de los médicos La orden de no reanimar es la manifestación expresa de rechazo de la reanimación cardiopulmonar por parte de pacientes portadores de una enfermedad avanzada en progresión. Este estudio tuvo como objetivo describir la actitud de los médicos con respecto a esta orden y la necesidad de su regulación. Se aplicó un cuestionario a 80 médicos inscriptos en el distrito del Consejo Regional de Medicina de Joaçaba/SC, Brasil. Se encontró que el 90% de los encuestados conocían el significado de esta orden, el 86,2% estaban de acuerdo en cumplirla, el 91,2% consideraban importante el registro en el historial médico y el 92,5% juzgaban oportuna la existencia de una regulación al respecto. Se concluyó que la mayoría de los médicos tenía conocimiento de la orden de no reanimar, estaba de acuerdo en respetarla, valoraba su registro en el historial médico y deseaba su regulación por parte de las instituciones competentes. Palabras clave: Enfermo terminal. Bioética. Órdenes de...

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“…In the past, ethical interpretations and legal precedents stated that patients were expected to receive complete resuscitation, unless there was a clear statement expressing the opposite [3]. This paper examines the ongoing and controversial debate regarding the DNR orders.…”

Section: Introductionmentioning

confidence: 99%

“…This is specifically for CPR and it does not encompass instructions for other healthcare interventions, such as nutrition, pain control, and medications. When CPR is performed, it can reverse premature death, yet it also prolongs terminal illness, worsens discomfort, and exhausts resources [3].…”

Section: Introductionmentioning

confidence: 99%

Do Not Resuscitate Expressly Allowed Natural Death: A Common Ethical Dilemma Among Terminally Ill Cancer Patients

Salim¹,

Nematollahi²,

Nigim³

et al. 2017

Nurs Palliat Care

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Background: Every human being desires a life without suffering and to live his or her life in best possible quality of life, but when death is looming by a terminal disease and one is lying in bed with machines to maintain organ functions; there comes the dilemma of the choice. However, patients may place healthcare providers at prospect of ethical dilemma by declining to care or to provide treatment, despite that patients have the right to do so.

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Do-not-resuscitate order: a view throughout the world

Cited by 62 publications

References 30 publications

Do-Not-Resuscitate Orders: Islamic viewpoint

Do-Not-Resuscitate Orders: Islamic viewpoint

Ordem de não reanimar pacientes em fase terminal sob a perspectiva de médicos

Do Not Resuscitate Expressly Allowed Natural Death: A Common Ethical Dilemma Among Terminally Ill Cancer Patients

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