The do-not-resuscitate order: Outpatient experience and decision-making preferences

Mark H. Ebell, M. A. Smith, K. G. Seifert, K. Polsinelli

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Do-not-resuscitate (DNR) orders have become a widespread part of modern medical practice. This study examined patient experience and decision-making preferences regarding cardiopulmonary resuscitation. A random sample of 800 outpatients (one half aged over 70 years) was surveyed by questionnaire, with a 51% response rate. While only 11% of patients had ever discussed resuscitation with a physician, 67% had thought about the issue, and 44% had discussed it with someone other than a physician. Patients overwhelmingly preferred to preserve a good quality of life, even if it meant not living longer (93.9%). When asked who they would have help them with DNR decisions, physicians were most often selected, while spouses were the most valued advisors. In a series of scenarios such factors as dementia, drug or alcohol use, age, and pain had a significant effect on a patient's decision about resuscitation. Discussions about DNR issues in the outpatient setting should be encouraged, as patient interest is strong, and greater physician awareness of patients' values and preferences can prevent unwanted resuscitation in the acute setting.

Original languageEnglish (US)
Pages (from-to)630-634
Number of pages5
JournalJournal of Family Practice
Volume31
Issue number6
StatePublished - Dec 1 1990

Fingerprint

Resuscitation Orders
Decision Making
Outpatients
Physicians
Resuscitation
Patient Preference
Cardiopulmonary Resuscitation
Spouses
Dementia
Alcohols
Quality of Life
Pain
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Family Practice

Cite this

Ebell, M. H., Smith, M. A., Seifert, K. G., & Polsinelli, K. (1990). The do-not-resuscitate order: Outpatient experience and decision-making preferences. Journal of Family Practice, 31(6), 630-634.

The do-not-resuscitate order : Outpatient experience and decision-making preferences. / Ebell, Mark H.; Smith, M. A.; Seifert, K. G.; Polsinelli, K.

In: Journal of Family Practice, Vol. 31, No. 6, 01.12.1990, p. 630-634.

Research output: Contribution to journalArticle

Ebell, MH, Smith, MA, Seifert, KG & Polsinelli, K 1990, 'The do-not-resuscitate order: Outpatient experience and decision-making preferences', Journal of Family Practice, vol. 31, no. 6, pp. 630-634.
Ebell MH, Smith MA, Seifert KG, Polsinelli K. The do-not-resuscitate order: Outpatient experience and decision-making preferences. Journal of Family Practice. 1990 Dec 1;31(6):630-634.
Ebell, Mark H. ; Smith, M. A. ; Seifert, K. G. ; Polsinelli, K. / The do-not-resuscitate order : Outpatient experience and decision-making preferences. In: Journal of Family Practice. 1990 ; Vol. 31, No. 6. pp. 630-634.
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