Resuscitation in the A &amp; E department: can concepts of death aid decision making?

Brummell, Stephen

doi:10.1016/s0965-2302(98)90003-0

Cited by 3 publications

(4 citation statements)

References 20 publications

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“…This paradoxical situation is acknowledged by Timmermans (1998) who suggests that the victim is in-between life and death during the reviving attempt. Then again, the person in cardiac arrest shows no discernable signs of life (Brummell, 1998) and as Sutcliffe (2004) points out, the general public normally associates death with a non-beating heart. For Lamb (1994), failure to maintain a distinction between the living and the dead is an unacceptable situation in society.…”

Section: Advances In the Science And Practice Of Resuscitationmentioning

confidence: 99%

“…Through modern science, dying and death have taken on the status of a disease (Brummell, 1998) with medical interventions aimed at postponing death for as long as biologically possible (Timmermans, 2005). It is also assumed that the more medical technology is used to draw out the dying process, the less humane the passing becomes (Timmermans, 1998).…”

Section: High-tech Dying: Perceived Negative Effectsmentioning

confidence: 99%

“…It is also suggested that in the event of an unsuccessful resuscitation attempt, relatives and staff may find comfort in knowing that everything medically possible has been carried out. Brummell (1998) also reminds us how technology can be used to guide decision-making during a resuscitation event, including the decision to continue or withdraw resuscitative efforts. For example, cardiac monitoring will assist in the identification of arrest rhythms such asystole and pulseless electrical activity which usually signal a terminal event unless a reversible cause can be found and effectively treated (Resuscitation Council (UK), 2005).…”

Section: High-tech Dying: Arguments In Defencementioning

confidence: 99%

“…This in turn draws attention to the somewhat indistinct boundary between life and death as a consequence of technology (Brummell, 1998) and the notion of apparent-death where the victims of cardiac arrest are regarded as recoverable.…”

Section: Introductionmentioning

confidence: 99%

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Dying, sudden cardiac death and resuscitation technology

Walker

2008

International Emergency Nursing

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Section: Advances In the Science And Practice Of Resuscitationmentioning

confidence: 99%

Section: High-tech Dying: Perceived Negative Effectsmentioning

confidence: 99%

Section: High-tech Dying: Arguments In Defencementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Dying, sudden cardiac death and resuscitation technology

Walker

2008

International Emergency Nursing

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Discussing cardiopulmonary resuscitation with patients

Attwood¹,

Anderson²,

Mitchell

2001

Br J Nurs

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The British Medical Association and the Royal College of Nursing acknowledge that patients should be involved in the decision-making process regarding cardiopulmonary resuscitation (CPR) in order to gain compliance with any decision made on their behalf. In the past, it was apparent that decisions concerning the eligibility of patients for CPR were being made arbitrarily and older people were being treated unfairly in respect of their consideration for this intervention. This article reviews literature associated with patient involvement in decision-making regarding CPR and 'do not resuscitate' orders and how an assessment and rehabilitation unit promoted this activity as usual practice. In order to enhance partnership with patients and promote best possible practice in respect of CPR decision making the authors suggest a strategy that includes (1) evaluating documentation (2) development of a patient information leaflet and (3) an education programme for healthcare personnel.

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The resuscitation status of a patient: a constant dilemma

Dean

2001

Br J Nurs

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Since the first description of closed chest cardiac massage in 1960, healthcare has evolved considerably. The modern-day skill and expertise of both doctors and nurses in cardiopulmonary resuscitation (CPR) techniques are now supported by an advanced medical technology. Indeed, CPR is now perceived as the definitive life-saving procedure. However, paradoxically, it has also prolonged the process of dying and denied many patients a dignified and peaceful death. It has also denied the patient's loved ones the opportunity to be present at the time of death. The main focus of this article is to explore the current ethical issues in clinical practice relating to determining the resuscitation status of patients. Attention will also be given to patient advocacy, and the nurse's role in supporting this concept.

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Resuscitation in the A & E department: can concepts of death aid decision making?

Cited by 3 publications

References 20 publications

Dying, sudden cardiac death and resuscitation technology

Dying, sudden cardiac death and resuscitation technology

Discussing cardiopulmonary resuscitation with patients

The resuscitation status of a patient: a constant dilemma

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