Ethical Considerations: In-Hospital Management of Patients Who Wish to Limit CPR From a Nursing Perspective
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Video Transcription
Video Summary
Asset Subtitle
Ethics End of Life, Resuscitation, 2022
Asset Caption
There is ongoing confusion about appropriate management of patients with preexisting do-not-resuscitate (DNR) orders who present for procedures to the ICU, procedural suites, and operating room. Does the order to limit resuscitation need to be revoked before the procedure? Is it possible to perform procedures while the DNR order is retained? Four societies have published guidelines that have been in place for more than 15 years, yet there is still debate about ethical management of such patients. As the population ages, more intensivists, anesthesiologists, and clinicians who perform invasive procedures will encounter such situations and will need to be aware of appropriate management. Clinicians should be comfortable conducting appropriate discussions. In the context of the COVID-19 pandemic, communication challenges have made discussions about this topic even more challenging. Speakers will present challenges faced by anesthesiologists, surgeons, intensivists, and nurses and discuss what is ethically appropriate in various scenarios.
Meta Tag
Content Type Presentation
Knowledge Area Ethics End of Life
Knowledge Area Resuscitation
Knowledge Level Advanced
Membership Level Select
Tag Medical Legal Issues
Tag Cardiac Arrest
Year 2022
Code Status Orders
Shared decision-making
DNAR orders
Realistic goals of care
Comprehensive plan
Clear documentation


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