Navigation Links
Writing DNR orders takes longer, death more likely when surrogate decision-maker involved
Date:7/11/2011

INDIANAPOLIS Indiana University and Regenstrief Institute researchers report that it takes significantly longer for orders to forgo resuscitation in the event of cardiac arrest to be written for patients who had that decision made for them by a surrogate decision-maker compared to patients who made their own decisions, even though patients with a surrogate were sicker and the resuscitation issue might arise sooner. Among patients who died, patients with a surrogate had a shorter time frame between writing the DNR order and time of death compared to patients who made their own decisions.

"Surrogate decision making is not just more challenging for everyone, it actually affects important care processes in the hospitalin this case, code orders," said lead author Regenstrief Institute investigator Alexia Torke, M.D., assistant professor of medicine at the IU School of Medicine. "The delay in DNR orders may be due to the more complex ethical and communication issues involved in surrogate decision-making compared to patient decision-making. For a variety of reasons, including not being sure of what the patient would want, surrogates may have difficulty making the DNR decision."

"The Timing of Do Not Resuscitate Orders for Hospitalized Older Adults Who Require a Surrogate Decision Maker" appears in the July 2011 issue of the Journal of the American Geriatrics Society.

For every patient admitted to the hospital, a decision needs to be made about whether to resuscitate if the heart or breathing stops. If no decision is made, the patient is generally assumed to be "full code" and full resuscitation will be given, if needed. Some patients decide to have DNR orders, so if their heart or breathing were to stop they would be kept comfortable and allowed to die naturally. Dr. Torke notes that the shorter time frame between the decision to write a DNR order, if a surrogate is involved, and cardiac arrest, allows less of an opportunity
'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University School of Medicine
Source:Eurekalert  

Page: 1 2

Related medicine news :

1. Better learning through handwriting
2. Widening our perceptions of reading and writing difficulties
3. For Teens With Autism, Handwriting Problems May Persist
4. Writing checks that bounce: World continues to backtrack on HIV treatment
5. High School Students Well-Schooled In Diversity: Teen Winners of Book Writing Contest Earn College Scholarships and Have Entries Published
6. Facebook Group for McNeil Product Recall Organizes Letter Writing Campaign – Urges Concerned Parents to Contact House of Representatives and Senators
7. Vasont Systems Contributes Content Management Expertise to New Book on Virtual Collaborative Writing
8. Previous cancer history increases chances of clotting disorders after knee surgery, study suggests
9. Eating Disorders Appear to Raise Risk of Death
10. Eating Disorders May Raise Risk of Depression in Pregnancy
11. City Living Tied to More Anxiety, Mood Disorders
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Writing DNR orders takes longer, death more likely when surrogate decision-maker involved
(Date:9/2/2014)... (PRWEB) September 02, 2014 - Molecular ... as a class of diagnostic test that analyzes proteins ... nucleic acids and proteins that belong to individual patients ... health condition, or risk of developing a specific disease. ... known as (MDx) evaluating the new class of diagnostic ...
(Date:9/2/2014)... A New York City based company ... simple, yet revolutionary, product that will have ... health care costs for Americans. , REMIND-A-CAP™ ... puts control in the user's hands. It's a simple ... next date of intake by simply turning a knob. ...
(Date:9/2/2014)... A little white pill may help scientists learn why ... their peers, even if their lungs are relatively healthy. ... marketed as Revatio to treat pulmonary hypertension and Viagra ... of over-the-counter antioxidants will help them identify the root ... for these patients. , "We want to understand ...
(Date:9/2/2014)... over antibiotic ointment, there might be a new salve to ... an unlikely placethe lowly salamander. Salamanders may not be the ... achieve amazing recovery of seriously damaged body parts. Now, a ... The FASEB Journal , identifies a small protein ... be the key to unlocking the secret of this amazing ...
(Date:9/2/2014)... Society of Nuclear Medicine and Molecular Imaging (SNMMI) is ... Wagner-Torizuka Fellowship. This two-year fellowship, founded in 2008 by ... late Kanji Torizuka, MD, PhD, is designed to provide ... medicine and molecular imaging for Japanese physicians in the ... is proud to sponsor the Wagner-Torizuka Fellowship. This program ...
Breaking Medicine News(10 mins):Health News:Molecular Diagnostic Market: Global Factors and Perspectives by Transparency Market Research 2Health News:Molecular Diagnostic Market: Global Factors and Perspectives by Transparency Market Research 3Health News:Molecular Diagnostic Market: Global Factors and Perspectives by Transparency Market Research 4Health News:REMIND-A-CAP™ , A New York City Based Company Invents Groundbreaking Prescription Cap to Curb Non-Adherence 2Health News:Drug that improves blood flow may help find cause of exercise intolerance in cystic fibrosis 2Health News:Drug that improves blood flow may help find cause of exercise intolerance in cystic fibrosis 3Health News:Drug that improves blood flow may help find cause of exercise intolerance in cystic fibrosis 4Health News:Salamander skin peptide promotes quick and effective wound healing in mice 2Health News:SNMMI 2014-2016 Wagner-Torizuka Fellowship recipients announced 2
... March is National Brain Injury Awareness MonthWHEATON, Ill., March 18 ... to 3.8 million individuals in the U.S. each year according ... is a type of traumatic brain injury (TBI) caused by ... from mild to severe. It is important to note that ...
... "The White House made the correct decision ... Veterans Affairs to have military veterans, personal insurance ... said VAdm. Norb Ryan, Jr., USN-Ret., president of ... said he advised President Obama that "pursuing this ...
... passage of life-saving legislationNEW YORK, March 18 The ... to finding a cure for life-threatening food allergies, will ... and Mental Hygiene (DOHMH) to create an educational poster ... In addition to working with DOHMH to develop ...
... Pelosi announced this afternoon that the Obama Administration would not ... use their private insurance to pay for the treatment of ... meeting she and House Democrats hosted this afternoon in the ... news with a standing ovation. Below are the Speaker,s remarks. ...
... taking statins, drugs typically used to prevent heart attacks ... doctors report in a new study. , Doctors have ... attacks and strokes in patients who have already had ... been shown to have a protective effect for patients ...
... Development Group, Inc., a leader in software solutions ... services markets, is pleased to introduce PsychConsult Provider(R) ... focused on creating a completely paperless environment with ... record (EMR), and streamlined revenue cycle management.Highlights of ...
Cached Medicine News:Health News:Sports Concussions: Common and Preventable 2Health News:White House Makes Correct Decision On Veterans Insurance Proposal 2Health News:Food Allergy Initiative to Partner With NYC Department of Health on Educational Poster for Restaurants Citywide 2Health News:Food Allergy Initiative to Partner With NYC Department of Health on Educational Poster for Restaurants Citywide 3Health News:Pelosi: Administration Will Not Force Veterans to Use Private Insurance to Pay for Treatment of Combat-Related Injuries 2Health News:6.5 million more patients might benefit from statins to prevent heart attacks, strokes 2Health News:Askesis Development Group, Inc. Launches New Behavioral Health Software for Electronic Medical Records (EMR) and Practice Management 2
(Date:9/2/2014)... 2, 2014  XBiotech announced today interim results ... in the US for its anti-cancer agent Xilonix™. ... therapy, is being evaluated in advanced colorectal cancer ... The primary endpoint of the study is overall ... a control population provided only palliative therapy for ...
(Date:9/2/2014)... CALGARY, Alberta , September 2, 2014 ... of the Art and Featured Research Session" beim Kongress ... (TSX: RVX) gab heute bekannt, dass Dr. Jan Johansson, Senior ... des europäischen Kardiologenverbandes (ESC) 2014 in Barcelona ... Vortrag mit dem Titel " Effects of RVX-208 on ...
(Date:9/2/2014)... Reportlinker.com announces that a new market ... Acute Heart Failure Global Clinical Trials Review, ... Acute Heart Failure Global Clinical Trials ... clinical trial report, "Acute Heart Failure Global Clinical ... Acute Heart Failure clinical trial scenario. This report ...
Breaking Medicine Technology:XBiotech Halts Study, Reports Positive Phase III Results with Antibody Therapy for Cancer 2RVX-208 führt bei Patienten mit Diabetes mellitus zu einer Verringerung des relativen Risikos von gravierenden unerwünschten Herzkreislaufereignissen um 77 % 2RVX-208 führt bei Patienten mit Diabetes mellitus zu einer Verringerung des relativen Risikos von gravierenden unerwünschten Herzkreislaufereignissen um 77 % 3RVX-208 führt bei Patienten mit Diabetes mellitus zu einer Verringerung des relativen Risikos von gravierenden unerwünschten Herzkreislaufereignissen um 77 % 4RVX-208 führt bei Patienten mit Diabetes mellitus zu einer Verringerung des relativen Risikos von gravierenden unerwünschten Herzkreislaufereignissen um 77 % 5RVX-208 führt bei Patienten mit Diabetes mellitus zu einer Verringerung des relativen Risikos von gravierenden unerwünschten Herzkreislaufereignissen um 77 % 6Acute Heart Failure Global Clinical Trials Review, H2, 2014 2Acute Heart Failure Global Clinical Trials Review, H2, 2014 3Acute Heart Failure Global Clinical Trials Review, H2, 2014 4Acute Heart Failure Global Clinical Trials Review, H2, 2014 5Acute Heart Failure Global Clinical Trials Review, H2, 2014 6Acute Heart Failure Global Clinical Trials Review, H2, 2014 7Acute Heart Failure Global Clinical Trials Review, H2, 2014 8
Rapid reagent impregnated disk test for presumptive identification of Candida albicans....
... Electronic Medical Records for small and large ... from check-in to check-out. Review the complete ... medications, to allergies, labs and charts all ... your patient records immediately. Communicate electronically with ...
... Written specifically for urologists by ... utilizes touch screen technology to ... eliminate the use of a ... makes using an EMR faster ...
... a new generation of advanced Electronic Medical ... the largest, numerically codified medical vocabularies in ... data elements embedded in MedcomSoft Record, healthcare ... an easy and intuitive point and click ...
Medicine Products: