St. Joseph's Hospital developed supportive care guidelines to address physician noncompliance with do not resuscitate (DNR) orders. This policy clarifies "supportive care only" (SCO) and DNR orders, promoting ethical patient care decisions.
Area of Science:
Medical Ethics
Healthcare Policy
Background:
Physician noncompliance with do not resuscitate (DNR) orders was prevalent in 1983.
Confusion existed regarding "supportive care only" (SCO) and DNR orders.
Purpose of the Study:
To clarify "supportive care only" (SCO) and do not resuscitate (DNR) orders.
To develop and implement hospital policy addressing end-of-life care decisions.
Main Methods:
A task force of nurses and physicians developed supportive care guidelines.
Ethical principles were related to the supportive care concept.
The policy "Principles and Guidelines in Deciding to Forego Life-Sustaining Treatment" was drafted, reviewed, and approved.