Do not resuscitate decisions: flogging dead horses or a dignified death? Resuscitation should not be withheld from elderly people without discussion
- PMID: 10784524
- PMCID: PMC1127568
- DOI: 10.1136/bmj.320.7243.1155
Do not resuscitate decisions: flogging dead horses or a dignified death? Resuscitation should not be withheld from elderly people without discussion
Comment in
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Do not resuscitate decisions. Sound clinical reasons for withholding cardiopulmonary resuscitation must not be confused with ageism.BMJ. 2001 Jan 13;322(7278):104. BMJ. 2001. PMID: 11154610 No abstract available.
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Do not resuscitate decisions. Not discussing decisions is often because of practicalities, not ageism.BMJ. 2001 Jan 13;322(7278):104. BMJ. 2001. PMID: 11154611 No abstract available.
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Do not resuscitate decisions. We need a consistent message.BMJ. 2001 Jan 13;322(7278):104-5. BMJ. 2001. PMID: 11154613 No abstract available.
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Do not resuscitate decisions. Doctors must always act in their patients' best interests.BMJ. 2001 Jan 13;322(7278):105. BMJ. 2001. PMID: 11154614 No abstract available.
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Do not resuscitate decisions. Inadequacies of palliative care system need to be tackled.BMJ. 2001 Jan 13;322(7278):105. BMJ. 2001. PMID: 11154616 No abstract available.
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Do not resuscitate decisions. All -isms are intolerable.BMJ. 2001 Jan 13;322(7278):105. BMJ. 2001. PMID: 11154617 No abstract available.
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Do not resuscitate decisions. Rigid discussion process before making these decisions may cause distress.BMJ. 2001 Jan 13;322(7278):102. BMJ. 2001. PMID: 11154629 Free PMC article. No abstract available.
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Do not resuscitate decisions. Resuscitation should not be part of every death.BMJ. 2001 Jan 13;322(7278):102-3. BMJ. 2001. PMID: 11154630 No abstract available.
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Do not resuscitate decisions. Focus should be on offering treatments appropriate to diagnosis and regardless of age.BMJ. 2001 Jan 13;322(7278):103. BMJ. 2001. PMID: 11154631 No abstract available.
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Do not resuscitate decisions. Without discussion, these orders are unethical at any age.BMJ. 2001 Jan 13;322(7278):105. BMJ. 2001. PMID: 11154632 No abstract available.
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Do not resuscitate decisions. Cardiopulmonary resuscitations seems to be exempt from scrutiny of evidence based medicine.BMJ. 2001 Jan 13;322(7278):103. BMJ. 2001. PMID: 11154633 No abstract available.
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Do not resuscitate decisions. More consumer education and involvement are needed.BMJ. 2001 Jan 13;322(7278):103-4. BMJ. 2001. PMID: 11154635 No abstract available.
References
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- Mendick R, Dillon J. Fifty elderly on NHS death dossier. Independent on Sunday 2000 April 16:1.
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- Age Concern England. Turning your back on us—older people and the NHS. London: Age Concern; 2000.
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- De Vos R, Koster RW, de Haan RJ, Oosting H, van der Wouw PA, Lampe-Schoenmaeckers AJ. In-hospital cardiopulmonary resuscitation: prearrest morbidity and outcome. Arch Intern Med. 1999;159:845–850. - PubMed
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- Krumholz HM, Phillips RS, Hamel MB, Teno JM, Bellamy P, Broste SK, et al. Resuscitation preferences among patients with severe congestive heart failure: results from the SUPPORT project. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. Circulation. 1998;98:648–655. - PubMed
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- Shepardson LB, Youngner SJ, Speroff T, O'Brien RG, Smyth KA, Rosenthal GE, et al. Variation in the use of do-not-resuscitate orders in patients with stroke. Arch Intern Med. 1997;157:1841–1847. - PubMed
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