Dilemmas in Decision Making About Resuscitation - A Focus Group Study of Older People  

Oleh:

Vandrevala, Tushna ; Hampson, Sarah E. ; Daly, Tom ; Arber, Sara ; Thomas, Hilary

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 7 (Apr. 2006), page 1579-1593.
Topik: DECISION MAKING; cardiopulmonary resucitation; end of life care; life sustaining treatments; older people; advance care planning; UK

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.3 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Cardiopulmonary resuscitation (CPR) may be used by default on patient suffering a cardiac arrest in hospital in the UK unless there is an order that specifies otherwise in the patient's notes. Guidelines recommend that the decision involves competent and willing patients or in the case of in capacitation, their families. In practice, patient autonomy is often compromised. Ideally discussion of references for end of life care should take place prior to hospitalisation. The majority of research on this topic has been condicted on hospitalised patients, so little is known about the views of older, but healthy, people about resiscitation decision making. The present study was designed to address this gap. A series of eight focus groups involving a total of 48 participants over the age of 65 was conducted to explore people's views about the factors guiding resuscitation decision making. A qualitative analysis, which emphasised the dilemmatic nature of resuscitation decision making, identified two broad thematic dilemmas that subsumed six specific themes which contribute to resolving the dilemmas, quality of life (medical condition, mental versus physical incapacity, age and ageing, and burden), and the involvement of others (doctors and families) versus loss of autonomy. The dilemma underlying quality of life is that an acceptable quality of life after CPR cannot be assured. The dilemma underlying the involvement of others is that individual autonomy may be lost. The threes and subthemes provide the basis for guiding these difficult discussions in advance of serious illness.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali