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dc.creatorLipton, Helene Levensen
dc.date.accessioned2015-05-05T18:19:18Zen
dc.date.available2015-05-05T18:19:18Zen
dc.date.created1986-09-05en
dc.date.issued1986-09-05en
dc.identifier10.1001/jama.1986.03380090104026en
dc.identifier.bibliographicCitationJAMA. 1986 Sep 5; 256(9): 1164-1169.en
dc.identifier.issn0098-7484en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Do-Not-Resuscitate+Decisions+in+a+Community+Hospital:+Incidence,+implications,+and+Outcomes&title=JAMA.+&volume=256&issue=9&pages=1164-1169&date=1986&au=Lipton,+Helene+Levensen
dc.identifier.urihttp://dx.doi.org/10.1001/jama.1986.03380090104026en
dc.identifier.urihttp://hdl.handle.net/10822/727890en
dc.description.abstractA study was conducted to examine the intensity of care given to 333 patients in a 450-bed community hospital subsequent to their designation as do-not-resuscitate (DNR) patients. Treatment plans were not provided for 60% of the DNR patients; intensity of care, as measured by hospital charges, decreased; and type of care varied greatly, in a manner unrelated to age and not strictly consistent with prognosis. The findings suggest that clinical practice does not accord with the policy that DNR status ought to be compatible with aggressive care. The authors propose that perhaps DNR decisions should be considered as part of a general patient care plan that shifts from "therapeutic" or "aggressive" care to "supportive" or "conservative" care, ideally agreed on by patient, family, and physician. (KIE abstract)en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:KIE/22285en
dc.subjectAge Factorsen
dc.subjectCosts and Benefitsen
dc.subjectCritically Illen
dc.subjectDecision Makingen
dc.subjectDiagnosisen
dc.subjectEconomicsen
dc.subjectEvaluationen
dc.subjectFamily Membersen
dc.subjectHospitalsen
dc.subjectMedical Recordsen
dc.subjectMortalityen
dc.subjectPatient Careen
dc.subjectPatientsen
dc.subjectPhysiciansen
dc.subjectPrevalenceen
dc.subjectPrognosisen
dc.subjectRecordsen
dc.subjectResource Allocationen
dc.subjectResuscitationen
dc.subjectResuscitation Ordersen
dc.subjectSelection for Treatmenten
dc.subjectStatisticsen
dc.subjectSurveyen
dc.subjectTerminal Careen
dc.subjectTerminally Illen
dc.titleDo-Not-Resuscitate Decisions in a Community Hospitalen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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