Navigation Links
Doctor's choice of words may influence family's decision to permit CPR in critically ill
Date:5/9/2013

PITTSBURGH, May 9, 2013 A physician's choice of words when talking with family members about whether or not to try cardiopulmonary resuscitation (CPR) if a critically ill patient's heart stops may influence the decision, according to a study by University of Pittsburgh researchers in the June edition of Critical Care Medicine and now available online.

"It's long been known that the way a choice is framed can influence people's decisions," noted Amber E. Barnato, M.D., M.P.H., M.S., lead author of the study and associate professor of clinical and translational science at the University of Pittsburgh School of Medicine. "Our study shows that the words physicians use may play an important role in determining critical end-of-life decisions."

For this first-of-its-kind study, Dr. Barnato and her team recruited more than 250 adult children or spouses in eight cities: Boston, Atlanta, New York, Los Angeles, San Francisco, Dallas, Denver and Pittsburgh.

The participants took part in a Web-based survey involving a hypothetical situation in which a loved one was in the intensive care unit with a 40 percent chance of dying from sepsis, a dangerous bacterial infection. Some subjects were shown a photo of their loved ones to help them imagine the situation and heighten the emotional response. An actor portrayed a physician who held a virtual, interactive meeting with the family member. The "doctor's" responses varied, using different words for the same scenarios. Additionally, some offered emotional support, and others offered only clinical information.

A key finding was that when participants were asked to choose between having their loved ones receive CPR if their hearts should stop a treatment with a 10 percent chance of successfully reviving them or the alternative, a "Do Not Resuscitate" (DNR) order, 60 percent chose CPR. When the alternative was described as to "allow natural death" instead of a DNR order, the number choosing CPR dropped to 49 percent.

When the actor cited "his own experience" about how most others handled such a situation, family members were more likely to choose what they believed was the common approach.

Using more empathic language did not influence CPR choice.

"Simple changes of words and perceptions about social norms resulted in large differences in CPR choices," said Dr. Barnato. "The change in terminology from 'DNR' to 'allow natural death' already has been implemented in a health system in Texas. This study suggests that the change isn't just window dressing it makes a real difference in the choices that people make. We expect that it also may reduce feelings of guilt for choosing against CPR by making family members feel like they are doing something positive to honor their loved one's wishes at the end of life, rather than taking something away from them."


'/>"/>

Contact: Rick Pietzak
pietzakr@upmc.edu
412-864-4151
University of Pittsburgh Schools of the Health Sciences
Source:Eurekalert

Related medicine news :

1. Summit Medical Group Physicians Listed as Super Doctors
2. Book Appointments Online With DoctorSites' (Websites For Doctors) New Calendar Feature
3. Rottenstein Law Group Notes Medical Journal Article Advising Doctors To Use Caution When Prescribing Zithromax and Other Antibiotics
4. Doctors Take You Behind the Scenes of Their Cleveland Area Medical Spa, During Dr. Oz
5. The Revolutionary Garcinia Cambogia Select Weight Loss Supplement Recommended By Experts & Doctors - Now Available at HealthCareSupplementz.com
6. May Symposium By North Shore Eye Care Draws Eye Doctors From Across Long Island
7. Health Rating Company Announces Platform for Doctors to Market Their Business After New Study Reveals Struggles for Independent Practices
8. EPGL Hosting Live Conference Call Tonight at 6:00PM Eastern With Full Team of Doctors says EP Global Communications, Inc.
9. d’Oliveira & Associates Responds to Proposed Legislation That Would Excuse Negligent Doctors’ Admissions From Medical Malpractice Claims
10. Vein Specialists of Arizona Launches Physician Directory to Build Relationships with Area Doctors
11. Doctors Feel Less Connected to Obese Patients, Study Suggests
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... While it’s often important to take certain medications ... from Austin, Texas, has identified a solution. , She developed a prototype for MOTION ... As such, it eliminates the need to turn on a light when taking medication ...
(Date:10/13/2017)... , ... October 13, 2017 , ... PurhealthRX , ... Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD oil will revolutionize ... providing a CBD form that can be easily incorporated into liquid products, while reducing ...
(Date:10/13/2017)... ... 13, 2017 , ... Apple Rehab Shelton Lakes , which specializes in ... the facility as part of a disaster drill on October 3rd. , Apple Rehab ... City Emergency Manager, as well as the Connecticut Long Term Care Mutual Aid ...
(Date:10/13/2017)... ... ... Ellevate Network, the leading network for professional women, brought together some of ... their inaugural Summit in New York City in June. The event was livestreamed with ... 3 million. To watch the Mobilize Women video, click here . , ...
(Date:10/13/2017)... ... ... Talented host, actor Rob Lowe, is introducing a segment ... of "Success Files," which is an award-winning educational program broadcasted on PBS Member ... with passion and integrity. , Sciatica occurs when the sciatic nerve in the ...
Breaking Medicine News(10 mins):
(Date:10/12/2017)... 12, 2017 West Pharmaceutical Services, Inc. ... for injectable drug administration, today announced that it will ... on Thursday, October 26, 2017, and will follow with ... expectations at 9:00 a.m. Eastern Time. To participate on ... The conference ID is 94093362. ...
(Date:10/11/2017)... , Oct. 11, 2017  Hill-Rom Holdings, Inc. ... Aspen Surgical facility in Las Piedras, Puerto ... scalpels and blades. ... that the facility sustained minor structural damage, temporary loss ... Maria. Repairs have been completed, manufacturing operations have resumed, ...
(Date:10/5/2017)... 2017  In response to the nationwide opioid ... Surgeons (AAOMS) released prescribing recommendations that urge ibuprofen ... as a first-line therapy to manage a patient,s ... Recognizing the value and importance of ... Prescribing: Acute and Postoperative Pain Management" stresses that ...
Breaking Medicine Technology: