Understanding Cardiopulmonary Resuscitation Decision Making

Heyland, Daren K.; Frank, Chris; Groll, Dianne; Pichora, Deb; Dodek, Peter; Rocker, Graeme; Gafni, Amiram

doi:10.1378/chest.130.2.419

Cited by 162 publications

(55 citation statements)

References 34 publications

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“…We emphasized the importance of tracking emotional data as patients often respond to serious news first with emotion that, if unattended, may be a barrier for understanding the information given (32). By attending to emotion, providers allow patients to process the information and at the same time decrease anxiety and enhance trust (6,33). Communication skills training has been shown to improve providers' recognition of and attention to patient emotion (34).…”

Section: Discussionmentioning

confidence: 99%

Communication Skills Training for Dialysis Decision-Making and End-of-Life Care in Nephrology

Schell

Green

Tulsky

et al. 2013

Clinical Journal of the American Society of Nephrology

106

108

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SummaryNephrology fellows often face difficult conversations about dialysis initiation or withdrawal but are frequently unprepared for these discussions. Despite evidence that communication skills are teachable, few fellowship programs include such training. A communication skills workshop for nephrology fellows (NephroTalk) focused on delivering bad news and helping patients define care goals, including end-of-life preferences. This 4-hour workshop, held in October and November 2011, included didactics and practice sessions with standardized patients. Participants were nephrology fellows at Duke University and the University of Pittsburgh (n=22). Preand post-workshop surveys evaluated efficacy of the curriculum and measured changes in perceived preparedness on the basis on workshop training. Overall, 14% of fellows were white and 50% were male. Less than one-third (6 of 22) reported prior palliative care training. Survey response rate varied between 86% and 100%. Only 36% (8 of 22) and 38% (8 of 21) of respondents had received structured training in discussions for dialysis initiation or withdrawal. Respondents (19 of 19) felt that communication skills were important to being a "great nephrologist." Mean level of preparedness as measured with a five-point Likert scale significantly increased for all skills (range, 0.5-1.14; P<0.01), including delivering bad news, expressing empathy, and discussing dialysis initiation and withdrawal. All respondents (21 of 21) reported they would recommend this training to other fellows. NephroTalk is successful for improving preparedness among nephrology fellows for having difficult conversations about dialysis decision-making and end-of-life care.

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Section: Discussionmentioning

confidence: 99%

Communication Skills Training for Dialysis Decision-Making and End-of-Life Care in Nephrology

Schell

Green

Tulsky

et al. 2013

Clinical Journal of the American Society of Nephrology

106

108

View full text Add to dashboard Cite

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“…Subset analysis indicated that cancer patients were more likely "unaware" (53.6%) of the key components of CPR as compared to patients with other medical conditions (38.7%). Only a very small number of patients (< 3%) had an adequate knowledge of CPR outcomes [9]. On the contrary, in another Canadian study published in 2012 that involved 429 patients (none were diagnosed with cancer) who presented to their primary care physicians, 84% of 386 respondents were aware of the term DNR.…”

Section: Discussionmentioning

confidence: 98%

How, When and Where to Discuss Do Not Resuscitate: A Prospective Study to Compare the Perceptions and Preferences of Patients, Caregivers, and Health Care Providers in a Multidisciplinary Lung Cancer Clinic

Ahmed

Lobchuk

Hunter

et al. 2015

International Journal of Radiation Oncology*Biology*Physics

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“…Thus, what a nondisabled person might view as unwanted intrusive technology at the EOL may be embraced as an important part of daily living by a PWD. However, some authors view rejection of technological support in life-limiting illness as an important component of quality EOL care 27 and advance care planning (ACP). 28 Unfortunately, advance directives have been touted as a means to ''escape from disability'' at the EOL.…”

Section: Discussionmentioning

confidence: 99%

End of Life and Women Aging With a Disability (762)

Volker

Zolnierek²,

Harrison³

et al. 2011

Journal of Pain and Symptom Management

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Approximately 21 million noninstitutionalized Americans with physical disabilities will ultimately face end-oflife [EOL] issues. Studies have documented disparate care and poorer outcomes for persons with preexisting disabilities who have life-limiting illnesses, which raises the question of how EOL experiences may differ for these individuals. The aim of this qualitative, descriptive study was to explore how EOL issues might emerge within the life stories of women aging with functional disabilities. Interview data were obtained from a larger, ongoing ethnographic study focused on the creation of an explanatory model of health disparities of disablement in women with mobility impairment. Each participant was interviewed three to four times using a life-course perspective that captures life trajectories and transitions experienced over time. For this analysis, 41 interviews were selected from 20 participants who discussed issues related to death and dying. Content analysis of the data revealed five analytic categories: death as a signpost, impact of others' deaths, deaths that affected personal insights and choice, EOL possibilities, and a personal brush with death. EOL issues were manifested in a variety of ways that revealed both determination to remain as independent as possible within the context of declining functional ability and uncertainty regarding the future.

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Understanding Cardiopulmonary Resuscitation Decision Making

Cited by 162 publications

References 34 publications

Communication Skills Training for Dialysis Decision-Making and End-of-Life Care in Nephrology

Communication Skills Training for Dialysis Decision-Making and End-of-Life Care in Nephrology

How, When and Where to Discuss Do Not Resuscitate: A Prospective Study to Compare the Perceptions and Preferences of Patients, Caregivers, and Health Care Providers in a Multidisciplinary Lung Cancer Clinic

End of Life and Women Aging With a Disability (762)

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