Doctors in limbo: The United States 'DNR' debate Journal Article
| Author: | Lederberg, M. S. |
| Article Title: | Doctors in limbo: The United States 'DNR' debate |
| Abstract: | Cardiopulmonary resuscitation in unlike any other medical intervention in its emotional impact. Its original use in reversible conditions has been replaced by its expected use in irreversible ones. The history of this transformation and its psychological concommitants are reviewed. New York State is unusual in having a 'DNR' law where resuscitation is the default position unless actively refused by patient or surrogate. The paradoxical genesis of this law, and its complex effect on a tertiary care hospital are decribed. Attention is focused on the emotional stresses on medical staff, and the extensive teaching program mounted by the institution's ethics committee to enable a positive adaptation. The difficulties inherent in surrogate decision-making are also reviewed. |
| Keywords: | patient education; patient care; physician-patient relations; caregiver; acquired immune deficiency syndrome; physician attitude; new york; physician's role; treatment refusal; professional-family relations; resuscitation orders; medical staff, hospital; euthanasia; terminal disease; ethics, medical; medical futility; humans; article; ethics committees |
| Journal Title: | Psycho-Oncology |
| Volume: | 6 |
| Issue: | 4 |
| ISSN: | 1057-9249 |
| Publisher: | John Wiley & Sons |
| Date Published: | 1997-12-01 |
| Start Page: | 321 |
| End Page: | 328 |
| Language: | English |
| DOI: | 10.1002/(sici)1099-1611(199712)6:4<321::aid-pon289>3.0.co;2-# |
| PUBMED: | 9451751 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 17 March 2017 -- Source: Scopus |
