Patients’ attitudes towards “do not attempt resuscitation” status

Gorton, A. J.; Jayanthi, Naga Venkatesh; Lepping, Peter; Scriven, M. W.

doi:10.1136/jme.2007.022772

Cited by 41 publications

(36 citation statements)

References 7 publications

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“…DNAR-Entscheidungen und zu DNAR gehörige Besprechungen sollen klar in der Akte des Patienten aufgezeichnet werden [1001][1002][1003][1004]. Mit der Zeit kön-nen sich die Situation oder die Ansichten des Patienten ändern, sodass DNAR-Anweisungen entsprechend überprüft werden sollen [1005].…”

Section: Anwesenheit Der Familie Während Der Reanimationunclassified

Kurzdarstellung

Monsieurs

Nolan

Bossaert

et al. 2015

Notfall Rettungsmed

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Section: Anwesenheit Der Familie Während Der Reanimationunclassified

Kurzdarstellung

Monsieurs

Nolan

Bossaert

et al. 2015

Notfall Rettungsmed

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“…However, even if a patient has a poor prognosis, it does not always mean that he/she does not wish to be resuscitated or receive aggressive treatment. As the final decision on DNAR orders will differ according to the attitude of the individual patient,10, 11, 12, 13 it is essential to confirm each and every patient's intentions wherever possible. Apart from these diseases and background factors, patients with sequelae of cerebrovascular disease or dementia or patients in a persistent vegetative state may lack decision‐making capability.…”

Section: Discussionmentioning

confidence: 99%

Do not attempt resuscitation order in Japan

Inokuchi

Kobayashi

Ohkubo

2017

Acute Medicine & Surgery

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AimIn Japan, the do not attempt resuscitation (DNAR) order is practised routinely even though no related laws or guidelines exist. This study aimed to clarify the current status of DNAR, reveal existing DNAR‐related issues, and improve the application of DNAR.MethodsA questionnaire survey of medical institutions in Kanagawa Prefecture (total population, 9,120,000) about the current status of DNAR was carried out.ResultsThe results showed that DNAR has been practised at approximately 90% of the hospitals surveyed, but only about 30% have developed in‐hospital DNAR guidelines. Approximately 80% of the hospitals do not involve patients in the decision on their own DNAR orders. Because the DNAR order has not been legislated, it is often unclear whether to resuscitate patients when a request for an ambulance is made for a cardiac arrest at home.ConclusionIt is necessary for prefectures, municipalities, and local medical control authorities to take the initiative in establishing an ordinance on DNAR orders and developing guidelines.

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“…With reference to timing, there were indications that screening should take place prior to hospital admission [33], however in reality, the literature indicated that screening is mostly conducted on admission or post admission (within 3 days) [5,28]. Reviewed articles noted that for many patients, emotional, psychological and practical concerns are particularly pronounced on admission [32], however the pre-surgical processes and procedures rarely accommodate such screening or responses to these concerns [27].…”

Section: Psychosocial Screeningmentioning

confidence: 99%

Including psychosocial factors in screening for surgery: A preliminary literature review from a social work perspective (Preprint)

Kuipers¹

2017

Preprint

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Introduction. The area of psychosocial screening for surgery holds considerable potential for social work practice, but to date there is little clarity regarding tools or roles.Methods. A practice-based scoping review was conducted by social workers to provide an overview of relevant issues. Articles were screened for alignment with the research question, as well as for quality and relevance. Of the 26 articles included, quality and relevance varied considerably.Results. The review summarised key psychosocial factors, screening issues, intervention issues and organisational aspects in the literature. It elucidated the importance of psychosocial factors in the acute hospital setting and specifically in the case of surgery.While the review found that there were many tools associated with psycho-social screening, there was no consensus as to which tool was most appropriate. There appeared to be little connection between tools and potential interventions, or indeed little consensus on suitable interventions.Conclusion. Reviewed articles suggested that appropriate psychosocial screening and intervention would result in considerable individual and systems benefits. This is an area that requires greater clarity and research investment from the social work profession.

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Patients’ attitudes towards “do not attempt resuscitation” status

Cited by 41 publications

References 7 publications

Kurzdarstellung

Kurzdarstellung

Do not attempt resuscitation order in Japan

Including psychosocial factors in screening for surgery: A preliminary literature review from a social work perspective (Preprint)

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