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Not for Resuscitation Orders - Essay Example

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Not for Resuscitation Orders

The medical fraternity may opt for the “do not resuscitate” orders so that the unnecessary use of the CPR is not chosen; however this choice would have implications at ethical and legal levels (Jaing, 2007). The decision of “do not resuscitate” is made by the patient if he is functionally able to convey it. If otherwise, the family members may have to make the decision when it is called surrogate decision (Torke, 2011). The subject has been the topic of discussion along with other end-of life decisions due to the ethical and legal bearings (Sham et al, 2007). The decisions on the withholding of the treatment for sustenance of life would be relaying the message that the patient accepts the progression of the disease and that he trusts the healing physician. There will be an underlying desire to reduce the burden on others. The wish to live and die naturally could also be influencing his decision (Sham et al, 2007). Research has elicited various factors influencing the doctors when the DNR (do not resuscitate) orders are made. These are based on the themes of probability of survival, the desire of the patient, the quality of life prior to present illness and the quality expected after it (Sham et al, 2007). Federal and State policies in the US advice advance care planning where the patient may be encouraged to make his decision for other end-of life decisions but DNR has been excluded (Sham et al, 2007). ...
Researchers indicate that current policies show room for improvement: there are no standardised forms or patient information leaflets (Sidhu et al, 2007). The picture of NFR in an Australian hospital A clinical audit had been conducted by Salins and Jansen as a retrospective study to determine the accuracy of documentation of NFR orders in patients who had died at the Lyell McEwin Hospital (2011). This hospital was part of a teaching hospital in South Australia in 2007. Eighty-eight files could be accessed for information. Senior Registered Nurses from the Hospital’s Palliative Care Service participated in completing the questionnaires (Salins and Jansen, 2011). Most of the patients (96.59%) had an NFR documented in their case sheets. Only 3 patients did not have an NFR documented; two of them had been cancer patients but had not been in-patients in the palliative care. In 47.06 % cases, the documentation was because the patients had specifically declined resuscitation if a cardiac arrest occurred. Some patients (27.06%) decided on NFR as they were sure of having a poor quality of life if resuscitated (Salins and Jansen, 2011). Patients who were mentally incompetent (17.65%) had a surrogate decision-maker. More case sheets (52.94%) indicated a documented discussion about prognosis while only 40% had evidence of an appropriate diagnosis. Sixty-six % cases had received palliative care. CPR procedure or the chances of its successful outcome had not been mentioned (Salins and Jansen, 2011). The case sheets did not have many essential parts like name of doctor (3 nos.), time of entry (50%), grade of the doctor (75.3%), translation of ...Show more


NOT FOR RESUSCITATION ORDERS NOT FOR RESUSCITATION ORDERS NOT FOR RESUSCITATION ORDERS Cardiopulmonary resuscitation is a life-saving procedure done for a patient with the patient’s best interests at heart, ensuring that the well-being of the patient is safe-guarded…
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Not for Resuscitation Orders essay example
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