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Cardiopulmonary Resuscitation and Do-Not-Resuscitate Orders in the Nursing Home
Steven C. Zweig, MD, MSPH
Arch Fam Med. 1997;6(5):424-429.
Abstract
Following the early reports of success of cardiopulmonary resuscitation (CPR) in patients suffering from acute coronary events, CPR became standard practice in US hospitals. The policy of attempting CPR was extended to US nursing homes unless the physician wrote a do-not-resuscitate order. Success rates of CPR in the hospital have not been shown in nursing home settings. Communication about CPR and the issues surrounding donot-resuscitate orders in nursing homes is difficult. Cardiopulmonary resuscitation in nursing home residents is considered from the perspectives of autonomy, withholding futile therapy, costeffectiveness, and not doing harm. Changes in nursing home policies regarding CPR and do-not-resuscitate orders are recommended.
Author Affiliations
From the Department of Family and Community Medicine, University of Missouri, Columbia, School of Medicine.
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ABSTRACT
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