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

'Do not resuscitate': How? why? and when?

U Skerritt1, B Pitt

  • 1Intensive Care Unit, Park Royal Centre for Mental Health, London, UK.

International Journal of Geriatric Psychiatry
|June 1, 1997
PubMed
Summary
This summary is machine-generated.

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

Closing the Digitalis Divide: Back to the Basics of Randomized Controlled Trials.

Cardiovascular drugs and therapy·2021
Same author

Depressive symptoms and hazardous/harmful alcohol use are prevalent and correlate with stigma among TB-HIV patients in Lesotho.

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease·2017
Same author

Pulmonary tuberculosis diagnostic practices among people living with the human immunodeficiency virus in Lesotho.

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease·2017
Same author

Impact of Hyperkalemia and Worsening Renal Function on the Use of Renin Angiotensin Aldosterone System Inhibitors in Chronic Heart Failure With Reduced Ejection Fraction.

Clinical pharmacology and therapeutics·2017
Same author

Combined baseline and one-month changes in big endothelin-1 and brain natriuretic peptide plasma concentrations predict clinical outcomes in patients with left ventricular dysfunction after acute myocardial infarction: Insights from the Eplerenone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival Study (EPHESUS) study.

International journal of cardiology·2017
Same author

Mineralocorticoid receptor blockade-a novel approach to fight hyperkalaemia in chronic kidney disease.

Clinical kidney journal·2015
Same journal

'Partnering With Poise': A Preliminary Study of an Alexander Technique-Based Group Course for Informal Care Partners.

International journal of geriatric psychiatry·2026
Same journal

England's Dementia Diagnosis Landscape: Strengths, Limitations, and Future Directions.

International journal of geriatric psychiatry·2026
Same journal

Central Nervous System (CNS) Medication Use Before Suicide Among Older Adults in Sweden From 2007 to 2020: A Register-Based Case-Control Study.

International journal of geriatric psychiatry·2026
Same journal

Older Patients With Memory Complaints Often Prefer Diagnostics in Primary Care or No Further Diagnostic Evaluation.

International journal of geriatric psychiatry·2026
Same journal

Long-Term Perceptions of the Value of Amyloid PET Scans Among Cognitively Impaired Medicare Beneficiaries and Their Care Partners.

International journal of geriatric psychiatry·2026
Same journal

Assessing the Utility of Automated and Pen-And-Paper Cognitive Assessment Tools for Underrepresented Groups in the UK.

International journal of geriatric psychiatry·2026
See all related articles

A study found that 20% of inpatients had Do Not Resuscitate (DNR) orders, primarily older patients with severe diseases. Decision-making processes and documentation for DNR status were often inadequate.

Area of Science:

  • Medical Ethics
  • Clinical Auditing
  • Healthcare Management

Background:

  • The implementation and documentation of 'Do Not Resuscitate' (DNR) decisions in inpatient settings require careful examination.
  • Understanding the characteristics of patients with DNR status and the processes surrounding these decisions is crucial for improving patient care and ethical practice.

Purpose of the Study:

  • To identify patients with DNR status, analyze the reasons behind these decisions, and evaluate the process of their implementation.
  • To assess the demographic and diagnostic profiles of patients with DNR status.
  • To examine the consultation, decision-making, and documentation practices related to DNR orders.

Main Methods:

  • Retrospective review of medical and nursing notes for 139 inpatients in a general hospital.
Keywords:
Death and EuthanasiaEmpirical Approach

Related Experiment Videos

  • Data collection included patient age, sex, diagnosis, resuscitation status, and details of DNR decision-making.
  • Analysis focused on identifying the prevalence of DNR status and associated patient characteristics.

    • Main Results:

    • Twenty percent (28/139) of inpatients had DNR status.
    • DNR patients were significantly older and more frequently had malignant or cardiorespiratory diseases.
    • Documentation and evidence of consultation for DNR decisions were often lacking and erratic; dementia patients were not disproportionately DNR.

    Conclusions:

    • There is a significant need for comprehensive guidelines and standardized documentation for DNR decisions.
    • Clear protocols are required for outlining the reasons, consultation process, and review dates for DNR orders.
    • DNR decision-making and documentation represent a critical area for clinical audit and quality improvement.