Barriers to involving older people in their resuscitation decisions: The primary-secondary care mismatch highlights the potential role of general practitioners

International Journal of Clinical Practice

Volumn 67, Issue 4, 2013, Pages 379-384

  Holland, C L ^a   Bowker, L K ^a,b   Myint, P K ^a,b  

^a UNIVERSITY OF EAST ANGLIA   (United Kingdom)

^b NORFOLK AND NORWICH UNIVERSITY HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL PRACTICE; COMPREHENSION; DOCTOR PATIENT RELATION; ELDERLY CARE; FEMALE; GENERAL PRACTITIONER; HOSPITAL PHYSICIAN; HUMAN; INTERPERSONAL COMMUNICATION; LIVING WILL; MALE; MEDICAL ETHICS; MEDICOLEGAL ASPECT; MENTAL CAPACITY; NORMAL HUMAN; PATIENT ATTITUDE; PATIENT DECISION MAKING; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; QUESTIONNAIRE; RESUSCITATION; SECONDARY HEALTH CARE; TEACHING HOSPITAL; UNITED KINGDOM;

ADULT; AGED; ATTITUDE OF HEALTH PERSONNEL; COMPREHENSION; ENGLAND; FEMALE; GENERAL PRACTITIONERS; HEALTH STATUS; HUMANS; MALE; MEDICAL STAFF, HOSPITAL; MENTAL COMPETENCY; MIDDLE AGED; PATIENT PARTICIPATION; PHYSICIAN'S ROLE; PHYSICIAN-PATIENT RELATIONS; PRIMARY HEALTH CARE; RESUSCITATION ORDERS; SECONDARY CARE;

EID: 84875492906     PISSN: 13685031     EISSN: 17421241     Source Type: Journal    
DOI: 10.1111/ijcp.12067     Document Type: Article

References (25)

1. Cherniack E,. Increasing use of DNR orders in the elderly worldwide: whose choice is it?' J Med Ethics 2002; 29: 303-7.
2. Wilson J,. To what extent should older patients be included in decisions regarding their resuscitation status? J Med Ethics 2008; 34: 353-6.
3. Wanless D, Forder J, Fernandez JL, et al., Securing good care for older people: taking a long-term view. King's Fund 2006; Chapter 2, 31-45. ISBN 1 85717 544 1.
4. British Medical Association. Decisions Relating to Cardiopulmonary Resuscitation-A Joint Statement From the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. London: British Medical Association, 2007.
5. Kerridge I, Pearson SA, Rolfe I, et al., Decision making in CPR: attitudes of hospital patients and healthcare professionals. Med J Austr 1998; 169: 128-31.
6. Harkness M, Wanklyn P,. Cardiopulmonary resuscitation: capacity, discussion and documentation. QJM 2006; 99: 683-90.
7. Heyland DK, Frank C, Groll D, et al., Understanding cardiopulmonary resuscitation decision making: perspectives of seriously ill hospitalized patients and family members. Chest 2006; 130: 419-28.
8. Myint PK, Miles S, Halliday D, et al., Experiences and views of specialist registrars in geriatric medicine on 'do not attempt resuscitation' decisions: a sea of uncertainty?' Q J Med 2006; 99: 691-700.
9. Harris D, Davies R,. An audit of "do not attempt resuscitation" decisions in two district general hospitals: do current guidelines need changing? Postgrad Med J 2007; 83: 137-40.
10. Chittenden EH, Clark ST, Pantilat SZ,. Discussing resuscitation preferences with patients: challenges and rewards. J Hosp Med 2006; 1: 231-40.
11. Gorton AJ, Jayanthi NV, Lepping P, et al., Patients' attitudes towards do not attempt resuscitation status. J Med Ethics 2008; 34: 624-6.
12. Department of Health. National Service Framework for Older People, 2001.
13. The Mental Capacity Act, 2005. http://www.legislation.gov.uk/ukpga/2005/ 9/contents (accessed 23 October 2012).
14. Johnson HM, Nelson A,. The acceptability of an information leaflet explaining cardiopulmonary resuscitation policy in the hospice setting: a qualitative study exploring patients' views. Palliat Med 2008; 22: 647-52.
15. Cooke S, Wakefiel A, Chew-Graham C, et al., Collaborative training in breaking bad news to patients. J Interprof Care 2003; 17: 307-9.
16. Sivakumar R, Knight J, Devlin C, et al., Communicating information on cardiopulmonary resuscitation to hospitalised patients. J Med Ethics 2004; 30: 311-2.
17. Vandrevala T, Hampson SE, Daly T, et al., Dilemmas in decision-making about resuscitation-a focus group study of older people. Soc Sci Med 2006; 62: 1579-93.
18. Aw D, Hayhoe B, Smajdor A, et al., Advance care planning and the older patient. QJM 2012; 105: 225-30. doi: 10.1093/qjmed/hcr209 First published online: November 10, 2011.
19. Bowker L,. A doctor's experience of resuscitation decision making for older patients: coping with change. Postgrad Med J 2009; 85: 569-72.
20. Happ MB, Swigart VA, Tate JA, et al., Patient involvement in health-related decisions during prolonged critical illness. Res Nurs Health 2007; 30: 361-72.
21. Myint PK, Rivas CA, Bowker LK,. In-hospital cardiopulmonary resuscitation: trainees' worst and most memorable experiences. QJM 2010; 103: 865-73.
22. Phillips K, Woodward V,. The decision to resuscitate: older people's views. J Clin Nurse 1999; 8: 753-61.
23. McParland E, Likourezos A, Chichin E, et al., Stability of preferences regarding life-sustaining treatment: a 2-year prospective study of nursing home residents. Mt Sinai J Med 2003; 70: 85-92.
24. Ramsaroop SD, Reid MC, Adelman RD,. Completing an advance directive in the primary care setting: what do we need for success? J Am Geriatr Soc 2007; 55: 277-83.
25. Conroy S, Fade P, Fraser A, et al., Guideline Development Group. Advance care planning: concise evidence-based guidelines. Clin Med 2009; 9: 76-9.