Deferred Decision Making: patients’ reliance on family and physicians for cpr decisions in critical care

The aim of this study was to investigate factors associated with seriously ill patients’ preferences for their family and physicians making resuscitation decisions on their behalf. Using SUPPORT II data, the study revealed that, among 362 seriously ill patients who were experiencing pain, 277 (77%)...

Full description

Saved in:  
Bibliographic Details
Authors: Kim, Su Hyun (Author) ; Kjervik, Diane (Author)
Format: Electronic Article
Language:English
Check availability: HBZ Gateway
Journals Online & Print:
Drawer...
Fernleihe:Fernleihe für die Fachinformationsdienste
Published: Sage 2005
In: Nursing ethics
Year: 2005, Volume: 12, Issue: 5, Pages: 493-506
Further subjects:B experience of health care treatments
B cardiopulmonary resuscitation decision making
B Autonomy
B seriously ill patients
Online Access: Volltext (lizenzpflichtig)

MARC

LEADER 00000naa a22000002 4500
001 1779443978
003 DE-627
005 20211126113407.0
007 cr uuu---uuuuu
008 211126s2005 xx |||||o 00| ||eng c
024 7 |a 10.1191/0969733005ne817oa  |2 doi 
035 |a (DE-627)1779443978 
035 |a (DE-599)KXP1779443978 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 1  |2 ssgn 
100 1 |a Kim, Su Hyun  |e VerfasserIn  |4 aut 
245 1 0 |a Deferred Decision Making: patients’ reliance on family and physicians for cpr decisions in critical care 
264 1 |c 2005 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
520 |a The aim of this study was to investigate factors associated with seriously ill patients’ preferences for their family and physicians making resuscitation decisions on their behalf. Using SUPPORT II data, the study revealed that, among 362 seriously ill patients who were experiencing pain, 277 (77%) answered that they would want their family and physicians to make resuscitation decisions for them instead of their own wishes being followed if they were to lose decision-making capacity. Even after controlling for other variables, patients who preferred the option of undergoing cardiopulmonary resuscitation (CPR) in the future were twice as likely, and those who had had ventilator treatment were four-fifths less likely, to rely on their family and physicians than those who did not want CPR (odds ratio (OR)-2.28; 95% confidence interval (CI) 1.18-4.38) or those who had not received ventilator treatment (OR-0.23; 95% CI 0.06-0.90). Psychological variables (anxiety, quality of life, and depression), symptomatic variables (severity of pain and activities of daily living) and the existence of surrogates were not significantly associated with patients’ preferences for having their family and physicians make resuscitation decisions for them. Age was not a significant factor for predicting the decision-making role after controlling for other variables. 
601 |a Patient 
650 4 |a seriously ill patients 
650 4 |a experience of health care treatments 
650 4 |a cardiopulmonary resuscitation decision making 
650 4 |a Autonomy 
700 1 |a Kjervik, Diane  |e VerfasserIn  |4 aut 
773 0 8 |i Enthalten in  |t Nursing ethics  |d London [u.a.] : Sage, 1994  |g 12(2005), 5, Seite 493-506  |h Online-Ressource  |w (DE-627)324869460  |w (DE-600)2031461-9  |w (DE-576)273866605  |x 1477-0989  |7 nnns 
773 1 8 |g volume:12  |g year:2005  |g number:5  |g pages:493-506 
856 4 0 |u https://doi.org/10.1191/0969733005ne817oa  |x Resolving-System  |z lizenzpflichtig  |3 Volltext 
935 |a mteo 
936 u w |d 12  |j 2005  |e 5  |h 493-506 
951 |a AR 
ELC |a 1 
ITA |a 1  |t 1 
LOK |0 000 xxxxxcx a22 zn 4500 
LOK |0 001 4008117679 
LOK |0 003 DE-627 
LOK |0 004 1779443978 
LOK |0 005 20211126113407 
LOK |0 008 211126||||||||||||||||ger||||||| 
LOK |0 035   |a (DE-Tue135)IxTheo#2021-10-24#05CEB1FA56E8511B2A2E9C2CE7DDA35AEC4C3875 
LOK |0 040   |a DE-Tue135  |c DE-627  |d DE-Tue135 
LOK |0 092   |o n 
LOK |0 852   |a DE-Tue135 
LOK |0 852 1  |9 00 
LOK |0 935   |a ixzs  |a ixrk  |a zota 
ORI |a SA-MARC-ixtheoa001.raw