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Advance Care Planning in End of Life Care$
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Keri Thomas and Ben Lobo

Print publication date: 2010

Print ISBN-13: 9780199561636

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199561636.001.0001

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The tough questions: do not attempt resuscitation discussions

The tough questions: do not attempt resuscitation discussions

Chapter:
(p.113) Chapter 10 The tough questions: do not attempt resuscitation discussions
Source:
Advance Care Planning in End of Life Care
Author(s):

Madeline Bass

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199561636.003.0010

This chapter discusses the development of cardiopulmonary resuscitation (CPR), the success rates of CPR, who should make the final decision about CPR, the CPR decision-making process involved in Advance Care Planning (ACP), and how to handle a conversation about CPR. The discussion shows that CPR is not as successful as many professionals think. CPR should not be offered if it is going to be futile. If patients have capacity they should be given the option to make decisions for themselves if there is a choice. CPR decisions may be complex and highly emotive. But by following the correct decision-making process, by not using false reassurance, and by being honest and direct, CPR decisions can be made appropriately. This can result in the patient having a dignified, and a good death.

Keywords:   cardiopulmonary resuscitation, Advance Care Planning, decision-making process, good death, final decision

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