The main objective was to discover who had'Do Not Resuscitate' (DNR) status, why, how, when and by whom these decisions were made.
The medical and nursing notes of all inpatients (139) (age range 16-100 years) in an inner city district general hospital on a single day were examined to determine the resuscitation status, age, sex and diagnosis of each patient.
A decision not to resuscitate had been taken in 28 (20%) of the cases.'Do Not Resuscitate' (DNR) patients were significantly older and more likely to suffer from malignant and cardiorespiratory disease.
Patients with dementia and other psychiatric disorders were not significantly more often labelled DNR.
Evidence of consultation for these decisions was lacking and the recording erratic.
(1) There is a great need to devise and implement comprehensive guidelines. (2) There is need for appropriate and comprehensive documentation outlining the reasons why and how the decision was taken, who was consulted and review date. (3) This is an important area for audit.
Mots-clés Pascal : Prise décision, Réanimation cardiocirculatoire, Réanimation respiratoire, Age, Sexe, Diagnostic, Ethique, Démence, Trouble psychiatrique, Homme, Encéphale pathologie, Système nerveux central pathologie, Système nerveux pathologie
Mots-clés Pascal anglais : Decision making, Intensive cardiocirculatory care, Respiratory intensive care, Age, Sex, Diagnosis, Ethics, Dementia, Mental disorder, Human, Cerebral disorder, Central nervous system disease, Nervous system diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0368880
Code Inist : 002B30A09. Création : 12/09/1997.