Do Not Resuscitate, with No Surrogate and No Advance Directive: An Ethics Case Study.
J Clin Ethics
; 28(2): 159-162, 2017.
Article
em En
| MEDLINE
| ID: mdl-28614079
ABSTRACT
Do-not-resuscitate (DNR) orders are typically signed by physicians in conjunction with patients or their surrogate decision makers in order to instruct healthcare providers not to perform cardiopulmonary resuscitation (CPR). Both the medical literature and CPR guidelines fail to address when it is appropriate for physicians to sign DNR orders without any knowledge of a patient's wishes. We explore the ethical issues surrounding instituting a two-physician DNR for a dying patient with multiple comorbidities and no medical record on file, no advance directives, and no surrogate decision maker. Through this case we also highlight the issues of poor prognostication and the reversal of a DNR in such circumstances.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ordens quanto à Conduta (Ética Médica)
/
Ética Clínica
/
Corpo Clínico Hospitalar
Tipo de estudo:
Prognostic_studies
Aspecto:
Ethics
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Clin Ethics
Ano de publicação:
2017
Tipo de documento:
Article