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Related Experiment Videos

Communicating about resuscitation: problems and prospects

W B Ventres1

  • 1Department of Family and Community Medicine, University of Arizona College of Medicine, Tucson 85724.

The Journal of the American Board of Family Practice
|March 1, 1993
PubMed
Summary
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Physician-patient-family communication significantly impacts decisions about resuscitation and advance directives. Understanding social factors like capacity and attitudes toward death improves these crucial end-of-life discussions.

Area of Science:

  • Medical Ethics
  • Communication Studies
  • Sociology of Health

Background:

  • The Patient Self-Determination Act of 1991 promotes discussions on advance directives and no-code orders.
  • Limited research exists on physician-patient-family communication in resuscitative decision-making.
  • This study examines communication dynamics in end-of-life care decisions.

Purpose of the Study:

  • To investigate how communication between physicians, patients, and families influences resuscitative decision-making.
  • To explore the social and cultural factors affecting these critical conversations.
  • To enhance therapeutic alliances during end-of-life care.

Main Methods:

  • Employed participant observation and open-ended interviews.
  • Included patients, families, resident physicians, and faculty members.
Keywords:
Death and Euthanasia

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  • Gathered qualitative data on communication processes.

    • Main Results:

    • Identified three key social/cultural influences on do-not-resuscitate (DNR) decisions: judging capacity, managing uncertainty, and acknowledging attitudes toward death.
    • Highlighted the role of communication in navigating these complex issues.
    • Described common challenges in DNR decision-making.

    Conclusions:

    • Enhanced understanding of communication processes is vital for effective physician-patient-family interactions.
    • Facilitating therapeutic alliances improves end-of-life care discussions.
    • Addresses critical junctures in the family life cycle related to healthcare decisions.