Physician understanding of patient resuscitation preferences: insights and clinical implications

Article Abstract:

Physicians and their understanding of patient resuscitation preferences have been studied to develop insights and to find clinical implications. Physicians may or may not understand do-not-resuscitate orders. It was found that misunderstanding was frequent and that physicians frequently infer a preference related to in-hospital CPR without asking the patient.

Aged, Elderly, Practice, Physicians, Medical professions, Living wills

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Withholding versus withdrawing life-sustaining treatment: patient factors and documentation associated with dialysis decisions

Article Abstract:

Patient factors and documentation associated with dialysis decisions are discussed relative to a prospective cohort study of withholding vs. withdrawing life-sustaining treatment at five teaching hospitals. Subjects numbered 565, were seriously ill, having renal failure, and had not undergone dialysis in the past. It was found that measuring the equity of life-sustaining treatment use will require evaluation of care withheld, not only care withdrawn. Men and older patients are more likely to have dialysis withheld than withdrawn after a trial, after allowing for function/prognosis. Chart documentation is inadequate for patients for whom dialysis was withheld.

Care and treatment, Research, Planning, Terminal care, Beliefs, opinions and attitudes, Hospitalization, Hospital patients, Records and correspondence, Medical care decision-making authority (Law), Medical care decision making authority (Law), Right to refuse treatment, Treatment refusal, Dialysis, Dialysis (Chemical process), Hospital care, Aged men, Elderly men, Bioethics, Acute renal failure, Hemodialysis, Acute kidney failure

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