TITLE

A survey of nursing and medical staff views on the use of cardiopulmonary resuscitation in the hospice

AUTHOR(S)
Thorns, A.R.; Ellershaw, J.E.
PUB. DATE
May 1999
SOURCE
Palliative Medicine;1999, Vol. 13 Issue 3, p225
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Research evidence suggests that cardiopulmonary resuscitation (CPR) would be indicated in very few hospice patients. However, with the increasing access and expansion of specialist palliative care services the question of CPR is becoming more important. In order to develop a policy in our unit we felt it was important to assess the understanding, attitudes and experience of the health care professionals involved. A semi-structured questionnaire regarding CPR issues, including case scenarios, was distributed to doctors and registered nurses in a palliative care unit. Thirty-seven (80%) of the questionnaires were returned. Ten per cent of respondents identified patients for whom they felt CPR would have been indicated in the event of an unexpected cardiac arrest. Thirty-two per cent could foresee the number of patients in this category increasing in the future. The majority of respondents indicated that CPR should be discussed in certain cases, however 86% had never done so. The success rate of CPR was frequently overestimated. Some respondents felt vulnerable as there was no existing written policy. Factors thought important in making decisions regarding CPR orders included: prognosis; patient's wishes; quality of life; and legal issues. CPR in palliative care units raises many practical and ethical concerns. Our survey shows that staff are aware of the small, but increasing, need for its consideration in certain cases. There was a wide range of views regarding the role of CPR with an overestimation of the chances of success and concerns regarding discussion of the issue with patients. When introducing a CPR policy in a palliative care unit, adequate education and a framework for decision making is required.
ACCESSION #
2003560

 

Related Articles

  • CPR in Hospice.  // Hastings Center Report;May/Jun2003, Vol. 33 Issue 3, p9 

    Deals with concerns raised with regard to the practice of cardiopulmonary resuscitation (CPR) for aged patients at hospice care facilities. Impact of CPR on the heath of aged people with chronic ailments; Policy of hospice facilities whenever a patient has rejected a do-not-resuscitate order.

  • commentary. Fine, Perry G. // Hastings Center Report;May/Jun2003, Vol. 33 Issue 3, p9 

    Comments on the case of an aged man who was given a cardiopulmonary resuscitation (CPR) in a hospice care facility and analyzes its impact on him and his family. Need to control the timing and manner of death; Factors that hospice care personnel should consider in conducting CPR; Situations...

  • Advance Care Planning and Hospice Enrollment: Who Really Makes the Decision To Enroll? Hirschman, Karen B.; Corcoran, Amy M.; Straton, Joseph B.; Kapo, Jennifer M. // Journal of Palliative Medicine;May2010, Vol. 13 Issue 5, p519 

    Purpose: The purpose of this study was to assess patient participation in advance care planning (ACP) and the decision to enroll in hospice. Methods: One hundred sixty-five family members of patients who died in hospice between January 2004 and September 2004 returned an anonymous survey...

  • Hospice Care.  // JAMA: Journal of the American Medical Association;7/11/2012, Vol. 308 Issue 2, p200 

    The article presents information on hospice care for the people suffering with fatal illness and the importance of their quality of life and comfort. The important elements needed in hospice care are discussed which include pain management, multidisciplinary and team-focused approach and...

  • Breathing Lessons.  // Working Mother;Nov2001, p80 

    Urges adults to take CPR lessons so they can perform CPR on children in case of emergencies.

  • Neighborhood Heart Watch: Saving Time Saves Lives.  // Medical Update;Jan2002, Vol. 27 Issue 7, p3 

    Provides information on the creation of the Neighborhood Heart Watch program which aimed to train individuals to do cardiopulmonary resuscitation and use automated external defibrillators.

  • Medical futility guidelines need much greater clarification.  // Brown University Long-Term Care Quality Letter;2/13/95, Vol. 7 Issue 3, p5 

    Reports on the findings of a study focused on medical residents' basis for deciding whether patients should receive cardiopulmonary resusciation (CPR). Inconsistent application of the concept of medical futility; Biased judgement about nonwhite patients' quality of life; Recommendations for...

  • First aid for a choking child.  // Patient Care;8/15/1997, Vol. 31 Issue 13, p208 

    Provides information on a variety of methods for administering first aid to a choking child. Information on the procedure for a child under one year of age; Procedure for a child over one year of age.

  • Morbidity scores predict futile cardiopulmonary resuscitation (CPR).  // Age & Ageing;Jan97 Supplement, Vol. 26, p5 

    Presents an abstract of the study `Morbidity Scores Predict Futile Cardiopulmonary Resuscitation (CPR),' by L. Bowker, A. Wagg and K. Stewart, presented during the communications to the autumn meeting of the British Geriatrics Society on October 3-4, 1996 in London, England.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics