Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

How long does it take to get a "do not resuscitate" order?

T J Smith1, C E Desch, M H Hackney

  • 1Massey Cancer Center, Virginia Commonwealth University, Richmond, USA.

Journal of Palliative Care
|April 1, 1997
PubMed
Summary

Physicians can obtain Do Not Resuscitate (DNR) orders efficiently during routine visits. The study found time is not a barrier, suggesting physician and patient reluctance are greater obstacles to these crucial end-of-life discussions.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prevalence, awareness, treatment, and control rates of hypertension in the general population of Australia: a systematic review and meta-analysis.

Journal of hypertension·2024
Same author

Changes in Physical Activity, Functional Capacity, and Cardiac Function during Breast Cancer Therapy.

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology·2022
Same author

Improving systems of care during and after a pregnancy complicated by hyperglycaemia: A protocol for a complex health systems intervention.

BMC health services research·2020
Same author

Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period.

BMC pregnancy and childbirth·2019
Same author

Birth outcomes in women with gestational diabetes managed by lifestyle modification alone: The PANDORA study.

Diabetes research and clinical practice·2019
Same author

Pharmacological treatment initiation for type 2 diabetes in Australia: are the guidelines being followed?

Diabetic medicine : a journal of the British Diabetic Association·2019

Area of Science:

  • Medical Ethics
  • Oncology
  • Palliative Care

Background:

  • Limited physician knowledge of patient resuscitation wishes.
  • Low rates of completed Do Not Resuscitate (DNR) orders.
  • Physician-cited time constraints as a barrier to DNR discussions.

Purpose of the Study:

  • To evaluate the actual time required for DNR education and consent.
  • To determine if time is a significant impediment to DNR order completion.

Main Methods:

  • Convenience sample of oncology patients.
  • Physicians recorded time spent on DNR discussions.
  • Documented discussion outcomes and physician comments.

Main Results:

  • DNR orders obtained in 16/22 patients after one 16-minute discussion.
Keywords:
Death and EuthanasiaEmpirical Approach

Related Experiment Videos

  • Additional DNR orders secured after subsequent interviews.
  • Nearly all patients (20/22) eventually consented to DNR orders.

    • Conclusions:

    • DNR orders are achievable within standard visit times.
    • Time is not the primary obstacle; physician/patient reluctance is.
    • Additional reimbursement for DNR discussions is likely unnecessary.