Preventing Safety Hazards Associated With Do-Not-Resuscitate Orders

被引:0
作者
Glenn, David G. [1 ]
机构
[1] Univ Maryland, Med Ctr, Blood & Marrow Transplantat Unit, Baltimore, MD 21201 USA
关键词
communication; continuity of care; end-of-life care; hospice; palliative care; treatment plans; DNR STATUS; IDENTIFICATION; PREFERENCES; OUTCOMES;
D O I
10.1188/15.CJON.667-669
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Do-not-resuscitate orders can promote patients' dignity near the end of life, but they also can carry safety hazards associated with miscommunication and inappropriate withdrawal of certain kinds of care. Oncology nurses have a responsibility to identify these potential hazards and to intervene as necessary. At a Glance Oncology nurses have an obligation to ensure that do-not-resuscitate (DNR) orders and do-not-intubate orders are followed correctly and that patients do not receive unwanted care near the end of life. Oncology nurses must verify that patients with advance medical directives have DNR orders that appropriately correspond to those directives. Patients' safety must be protected by ensuring that DNR orders are not overinterpreted so that important kinds of care are not wrongly withheld from patients with DNR orders.
引用
收藏
页码:667 / 669
页数:3
相关论文
共 20 条
[1]   Discharge Patterns, Survival Outcomes, and Changes in Clinical Management of Hospitalized Adult Patients with Cancer with a Do-Not-Resuscitate Order [J].
Azad, Arun A. ;
Siow, Sue-Faye ;
Tafreshi, Ali ;
Moran, Juli ;
Franco, Michael .
JOURNAL OF PALLIATIVE MEDICINE, 2014, 17 (07) :776-781
[2]   Changes in Medical Care at a Pediatric Oncology Referral Center after Placement of a Do-Not-Resuscitate Order [J].
Baker, Justin N. ;
Kane, Javier R. ;
Rai, Shesh ;
Howard, Scott C. ;
Hinds, Pamela S. .
JOURNAL OF PALLIATIVE MEDICINE, 2010, 13 (11) :1349-1352
[3]   The effect of do-not-resuscitate orders on physician decision-making [J].
Beach, MC ;
Morrison, RS .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (12) :2057-2061
[4]   Do-not-resuscitate order after 25 years [J].
Burns, JP ;
Edwards, J ;
Johnson, J ;
Cassem, NH ;
Truog, RD .
CRITICAL CARE MEDICINE, 2003, 31 (05) :1543-1550
[5]  
Fink Sheri., 2013, Five Days at Memorial: Life and Death in a Storm-Ravaged Hospital
[6]   Inconsistency over time in the preferences of older persons with advanced illness for life-sustaining treatment [J].
Fried, Terri R. ;
O'Leary, John ;
Van Ness, Peter ;
Fraenkel, Liana .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2007, 55 (07) :1007-1014
[7]   Interpretation and intent: A study of the (mis)understanding of DNAR orders in a teaching hospital [J].
Fritz, Zoe ;
Fulda, Jonathan ;
Haydock, Stephen ;
Palmer, Chris .
RESUSCITATION, 2010, 81 (09) :1138-1141
[8]   POLST Registry Do-Not-Resuscitate Orders and Other Patient Treatment Preferences [J].
Fromme, Erik K. ;
Zive, Dana ;
Schmidt, Terri A. ;
Olszewski, Elizabeth ;
Tolle, Susan W. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 307 (01) :34-35
[9]  
Goldstein M. K., 2006, DECIPHERING CODE
[10]   A LIVING WILL MISINTERPRETED AS A DNR ORDER: CONFUSION COMPROMISES PATIENT CARE [J].
Katsetos, Antonios D. ;
Mirarchi, Ferdinando L. .
JOURNAL OF EMERGENCY MEDICINE, 2011, 40 (06) :629-632