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Related Experiment Videos

Do-not-resuscitate orders--should the patient be informed?

R Löfmark1, T Nilstun

  • 1Department of Medicine, Länssjukhuset, Gävle, Sweden.

Journal of Internal Medicine
|May 1, 1997
PubMed
Summary

Physicians often fail to discuss do-not-resuscitate (DNR) status with patients, risking harm. Open communication about DNR decisions is crucial for patient autonomy and ethical care.

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Area of Science:

  • Medical Ethics
  • Clinical Practice
  • Patient Autonomy

Background:

  • Ethical considerations surrounding do-not-resuscitate (DNR) orders are complex.
  • Informing patients about their DNR status involves balancing beneficence with patient autonomy.

Purpose of the Study:

  • To analyze the ethical implications of informing patients about their do-not-resuscitate (DNR) status.
  • To assess the extent of patient, physician, and nurse involvement in DNR decisions.

Main Methods:

  • A nationwide questionnaire survey was conducted among members of the Swedish Cardiac Society.
  • The study included 104 physicians and 196 nurses, six months after the publication of DNR guidelines in 1994.

Main Results:

Keywords:
Death and EuthanasiaEmpirical ApproachProfessional Patient Relationship

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  • 84% of physicians and 8% of nurses reported making DNR decisions.
  • Only 33% of competent patients were involved in discussions regarding their DNR status.
  • Half of respondents believed DNR orders should be discussed with competent patients.

    • Conclusions:

    • Physicians exhibit reluctance in discussing DNR status with patients, potentially leading to harm.
    • Incremental information disclosure about DNR status is recommended.
    • Further research is needed on the preferences of elderly and chronically ill patients regarding DNR information.