Do-not-resuscitate orders in cancer patients: a review of literature

2016 ◽  
Vol 25 (2) ◽  
pp. 677-685 ◽  
Author(s):  
Aart Osinski ◽  
Gerard Vreugdenhil ◽  
Jan de Koning ◽  
Johannes G. van der Hoeven
Keyword(s):  
Cancer Patients ◽  
Review Of Literature ◽  
Do Not Resuscitate ◽  
Do Not Resuscitate Orders

Do-not-resuscitate orders among advanced-stage Chinese lung cancer patients who died in hospital

2015 ◽  
Vol 24 (4) ◽  
pp. 1763-1769 ◽  
Author(s):  
Zhen Wang ◽  
Yang-Si Li ◽  
Ning Zhao ◽  
Jin-Ji Yang ◽  
Hai-Yan Tu ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Advanced Stage ◽  
Do Not Resuscitate ◽  
Lung Cancer Patients ◽  
Do Not Resuscitate Orders

Use of nursing resources and comfort of cancer patients with and without do-not-resuscitate orders in the intensive care unit

2000 ◽  
Vol 9 (2) ◽  
pp. 87-95 ◽  
Author(s):  
R Kaplow
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cancer Patients ◽  
Rating Scale ◽  
Predictor Variable ◽  
Severity Of Illness ◽  
Do Not Resuscitate ◽  
Chi Square ◽  
Use Of Resources ◽  
Do Not Resuscitate Orders

BACKGROUND: Little is known about the level of comfort experienced by cancer patients with do-not-resuscitate orders and how use of nursing resources affects their comfort. OBJECTIVE: To explore the relationship between use of nursing resources and comfort in cancer patients with and without do-not-resuscitate orders in the intensive care unit. METHODS: The sample consisted of 30 adult patients who had do-not-resuscitate orders and 30 randomly selected patients who did not. Pairs consisting of 1 patient from each group were admitted to the study simultaneously and were evaluated during the same observation period. Level of comfort was assessed by using the PACU Behavioral Pain Rating Scale. Data on use of nursing resources, determined with the Therapeutic Intervention Scoring System, and on demographics and severity of illness were abstracted from the medical records. RESULTS: Chi-square analyses revealed no significant relationship between comfort and use of nursing resources. Differences between the 2 types of patients in comfort and in use of resources were not significant. Evaluation of the multivariate relationship between comfort and use of resources, with do-not-resuscitate status added as a further predictor variable, revealed no significant relationships. Severity of illness and a patient's number of visitors were predictors of use of nursing resources. CONCLUSIONS: Despite high use of nursing resources, nurses continue to focus on comfort as an outcome of care irrespective of patients' do-not-resuscitate status.

Cancer patients' perceptions of do not resuscitate orders

2002 ◽  
Vol 11 (3) ◽  
pp. 181-187 ◽  
Author(s):  
Ian N. Olver ◽  
Jaklin A. Eliott ◽  
Jane Blake-Mortimer
Keyword(s):  
Cancer Patients ◽  
Do Not Resuscitate ◽  
Do Not Resuscitate Orders

Legitimating Do-not-Resuscitate Orders: A Discursive Study of Cancer Patients’ Speech

2003 ◽  
Vol 19 (2) ◽  
pp. 100-106 ◽  
Author(s):  
Jaklin A. Eliott ◽  
Ian N. Olver
Keyword(s):  
Cancer Patients ◽  
Combined Effect ◽  
Western Society ◽  
Do Not Resuscitate ◽  
Structured Interviews ◽  
Patients With Cancer ◽  
Natural Event ◽  
Do Not Resuscitate Orders ◽  
The Individual ◽  
Dnr Orders

This article examines how patients with cancer construct and legitimate do-not-resuscitate (DNR) orders. Semi-structured interviews with 23 outpatients attending an oncology clinic were tape-recorded, transcribed, and analyzed in accordance with discourse-analytic methodology. Results indicate some variability for participants regarding the meaning of DNR orders, which were nonetheless viewed as appropriate and desirable. The patient's subsequent death was legitimated primarily through the invocation of highly valorized discourses within Western society: nature, autonomy, and compassion. Non-compliance with DNR orders, or the instigation of CPR was seen as violating nature, infringing autonomy, and as uncompassionate. The combined effect was to construct dying as a natural event which is the concern of the individual patient and their family, endorsing medical non-intervention in the process. This research provides support, from the patients’ viewpoint, for a policy of non-intervention when death is imminent and inevitable, and for those questioning the wisdom of a default policy of initiating CPR on any hospitalized patient, especially those patients inevitably in the process of dying.

Do-not-resuscitate orders in the surgical setting

The Lancet ◽  
2005 ◽  
Vol 365 (9461) ◽  
pp. 733-735 ◽  
Author(s):  
R TRUOG ◽  
D WAISEL ◽  
J BURNS
Keyword(s):  
Do Not Resuscitate ◽  
Do Not Resuscitate Orders ◽  
Surgical Setting
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