Patients who want their family and physician to make resuscitation decisions for them: observations from SUPPORT and HELP

Article Abstract:

Patients who want the family and physician to make resuscitation decisions for them have been studied at five teaching hospitals in the US using analysis of existing data from the Hospitalized Elderly Longitudinal Project and the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT). It is important for staff to understand resuscitation preferences within a broader context of patient values. Subjects who were seriously ill adult inpatients numbered 2203, and those who were older inpatients who expressed resuscitation preferences and advance decision-making preferences numbered 1226. Most inpatients who are older or have serious illnesses would not want their stated resuscitation preferences followed if there were to lose decision-making capacity. Most patients in both groups would prefer family and physician to make the decisions.

Physician and patient, Physician-patient relations, Ethical aspects

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Living and dying with chronic obstructive pulmonary disease

Article Abstract:

A retrospective analysis of data from a prospective cohort from the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) has been carried out to investigate treatment and condition of those who have chronic obstructive pulmonary disease (COPD) and died within one year. Subjects numbered 1016. Description of COPD patients should be adequate to ensure better care. Factors examined include length of hospital stay, prognosis, severity of illness, function, symptoms, preferences of patients, and impact on families.

Psychological aspects, Management, Complications and side effects, Physiological aspects, Artificial respiration, Mechanical ventilation, Quality of life, Lung diseases, Obstructive, Chronic obstructive lung disease, Emphysema, Pulmonary, Emphysema, Shortness of breath, Dyspnea

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