Use this URL to cite or link to this record in EThOS: http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.714899
Title: Resuscitation decisions : an exploration of the problems with the "Do Not Attempt Cardiopulmonary Resuscitation" form and the development and evaluation of a new approach
Author: Fritz, Zoë
Awarding Body: University of Warwick
Current Institution: University of Warwick
Date of Award: 2016
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Abstract:
Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) forms exist to provide immediacy and clarity of instruction in the event of a cardiorespiratory arrest; they are written either at a patient’s request, or because a clinical decision has been made that a patient would be unlikely to survive attempted cardiopulmonary resuscitation. They are extremely common, with around 92% of patients who die in hospital dying with a DNACPR decision in place. While working as a physician in the acute care setting and in intensive care, I became concerned about ethical problems with the use, interpretation and unintended consequences of DNACPR decisions: they were considered in an ad hoc manner; often documented without discussion with patients; and appeared to act as an unofficial triage marker, with patients with DNACPR forms being treated differently from those without them. A review of the literature revealed empirical research which supported my concerns, but a lack of contemporary evidence in the UK about the use or understanding of DNACPR decisions and forms. Supported by my colleague, Dr. Jonathan Fuld, I successfully applied for an NIHR Research for Patient Benefit Grant to conduct research to further assess these problems in the UK setting and to develop and evaluate an alternative approach.
Supervisor: Not available Sponsor: National Institute for Health Research (NIHR)
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.714899  DOI: Not available
Keywords: RC Internal medicine
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