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Ethics committee develops supportive care guidelines.

M Halligan, R P Hamel

    Health Progress (Saint Louis, Mo.)
    |November 6, 1985
    PubMed
    Summary
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    See all related articles

    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.

    Main Results:

    Keywords:
    Death and EuthanasiaProfessional Patient RelationshipReligious ApproachSt. Paul

    Related Experiment Videos

  • St. Joseph's Hospital approved and implemented a policy on deciding to forego life-sustaining treatment in May 1985.
  • The policy addresses patient autonomy, burden/benefit, informed consent, and competency.
  • Implementation included "ethics rounds," patient/family brochures, and nurse-physician education.
  • Conclusions:

    • The developed policy provides a framework for ethical end-of-life decision-making.
    • Ongoing review and incorporation of new insights ensure the policy remains current.
    • The initiative aimed to improve physician compliance and patient care regarding DNR and SCO orders.