Law note: if CPR is futile, do I have to tell my patient about a decision not to attempt it?
| Autor: | Adam Sandell |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Out of Hours
Operations research business.industry medicine.medical_treatment Decision Making Judgement Appeal Guidelines as Topic Personal autonomy medicine.disease Cardiopulmonary Resuscitation Distress Resuscitation Orders Personal Autonomy medicine Humans Family Cardiopulmonary resuscitation Medical emergency Patient Participation Patient participation Family Practice business health care economics and organizations |
| Zdroj: | British Journal of General Practice. 65:538-538 |
| ISSN: | 1478-5242 0960-1643 |
| DOI: | 10.3399/bjgp15x687049 |
| Popis: | The busy-doctor answer: Normally, yes. In more detail: Mr Bloggs has end-stage COPD. He knows he’s unwell. But he’s an anxious man with an anxious family. He hasn’t asked you about prognosis. And he’s deteriorating. Forward planning seems wise: indeed, the General Medical Council says that, when patients become clinically unstable and there’s a foreseeable risk of arrest, a judgement about the likely benefits, burdens, and risks of CPR should be made as early as possible.1 You reckon CPR would be futile, so a decision not to attempt cardiopulmonary resuscitation (‘DNACPR’) looks right. Were Mr Bloggs to arrest, pummelling his chest in the back of an ambulance to nowhere will do no-one any good. So surely there’s no need to cause him further distress by discussing this with him? It’s futile, so isn’t it as relevant as discussing whether you’re going to certify him fit to climb Kilimanjaro? Not so, said the Court of Appeal last year in … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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