PMID: 11322667Apr 27, 2001Paper

Development and implementation of resuscitation guidelines: a personal experience

Age and Ageing
S O'Keeffe

Abstract

to develop and implement guidelines on the appropriate use of cardiopulmonary resuscitation, which would ensure patient involvement in decision-making about cardiopulmonary resuscitation whenever possible but without offering illusory choices where resuscitation was unlikely to succeed. quantitative guidelines were developed after a review of the literature on survival after cardiopulmonary resuscitation. Patients were classified according to their estimated likelihood of survival to discharge after resuscitation: < 1%, group A; 1-10%, group B; and > 10%, group C. Qualitative guidelines were developed after consideration of the legal and ethical principles of cardiopulmonary resuscitation. It was decided to inform competent patients in group A that cardiopulmonary resuscitation would be inappropriate, and to seek the preferences of competent patients in group B. The operation of the guidelines was examined in patients aged 65 years or more admitted under a single consultant in an acute community hospital. 147 patients were studied: 39 in group A, 26 in group B and 82 in group C. Of 36 patients in groups A and B judged competent, cardiopulmonary resuscitation discussions were only undertaken in 17, usually because acute distress...Continue Reading

Citations

Nov 16, 2004·Irish Journal of Medical Science·J McNamee, S T O'Keeffe
Feb 5, 2009·Irish Journal of Medical Science·M O'Brien, S T O'Keeffe
Feb 25, 2006·BMJ : British Medical Journal·Simon P ConroyJohn R F Gladman
Mar 29, 2014·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Maggi RobertoUngar Andrea
Jul 27, 2010·QJM : Monthly Journal of the Association of Physicians·P K MyintL K Bowker
Nov 25, 2003·Health & Social Care in the Community·A Wilson, H Parker
Jan 10, 2006·Journal of the American Geriatrics Society·Cindy De GendtLuc Deliens
Apr 25, 2014·International Psychogeriatrics·Sébastien GrenierLouis Bherer
Sep 27, 2003·British Journal of Nursing : BJN·Jacqueline Jepson

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