Resuscitation decision making in the elderly

Schonwetter, Ronald S.; Walker, R. M.; Kramer, David; Robinson, Bruce E.

doi:10.1007/bf02600139

Cited by 119 publications

(64 citation statements)

References 22 publications

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“…Because prior studies found that older patients who understand the estimates of outcomes aft er CPR more oft en choose to forgo CPR, the present results may substantially aff ect the choices of some patients and family members. 4,5 Th e results may also inform the discussion about whether life-sustaining vs palliative care should be prioritized in hospitalized older adults who survive CPR but have a high burden of comorbid illness.…”

Section: Discussionmentioning

confidence: 94%

“…3 Older patients who understand CPR outcomes are more likely to choose to forgo CPR. [4][5][6] Th erefore, discussions about life-sustaining treatments, including CPR, in the outpatient setting before older patients become acutely ill are important, and patients and family members value shared decision-making. [7][8][9][10][11] Additionally, patients with chronic disease present a unique opportunity for end-of-life discussions because they are more likely to have contact with health-care providers in outpatient settings.…”

Section: Discussionmentioning

confidence: 99%

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Long-term Outcomes After In-Hospital CPR in Older Adults With Chronic Illness

Stapleton

Ehlenbach

Deyo

et al. 2014

Chest

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Long-term Outcomes After In-Hospital CPR in Older Adults With Chronic Illness

Stapleton

Ehlenbach

Deyo

et al. 2014

Chest

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“…Des enquêtes plus circonscrites réali-sées aux Etats-Unis et en Europe ont donné les mêmes résultats. Outre l'âge, d'autres facteurs jouent également un rôle dans la décision en faveur ou non d'une réanimation, tels que la qualité de vie, l'état de santé, l'environnement social, les valeurs personnelles et la conception de l'existence ainsi que la peur d'une future dépendance [2,3].…”

Section: Quand Les Dispositions De Fin De Vie Sont-elles Importantes?unclassified

Pourquoi des dispositions de fin de vie?

2006

Bull Med Suisses

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“…It is clear that the burden of treatment, the likelihood of beneficial treatment outcomes, and the consequences of toxicity are decisive factors in patients' preferences for specific therapeutic regimens [67][68][69][70][71][72][73][74][75][76][77]. Fried et al examined the treatment preferences of seriously ill patients who had limited life expectancies due to cancer, congestive heart failure, or chronic obstructive pulmonary disease [78].…”

Section: Life Prolongation and Symptom Reliefmentioning

confidence: 99%

Too Old to Care?

2004

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Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenneth B. Schwartz Center at MGH (http://www.theschwarzcenter.org/rounds.asp). The Schwartz Center is a nonprofit organization dedicated to supporting and advancing compassionate health care delivery, which provides hope to the patient and support to caregivers, and encourages the healing process. The center sponsors the Schwartz Center Rounds, a monthly multidisciplinary forum where caregivers reflect on important psychosocial issues faced by patients, their families, and their caregivers, and gain insight and support from fellow staff members.Ageism is a pervasive problem throughout society. It is rooted in language, attitudes, beliefs, behaviors, and policies. Aging profoundly influences physiology, challenging the medical community to accommodate but not discriminate. The elderly are at an increased risk of disease and disability. Sixty percent of cancer occurs in people aged 65 and older, and the population is aging. The treatment of cancer in the elderly is complicated by comorbidities and other physiological factors, particularly renal, bone marrow, and metabolic reserve. Caregivers have to treat patients in a manner that optimizes treatment and avoids anticipated harm. However, the caregiver is often faced with situations where they must balance their personal beliefs, professional values, and knowledge of medicine with their patients' preferences and needs. Discussion in the Rounds focused on age bias, drug toxicity, life prolongation, and symptom relief, with the role of the caregiver, and the relationship to the patient, being pivotal. The Oncologist 2004;9:343-352 LEARNING OBJECTIVESAfter completing this course, the reader will be able to:1. Discuss the competing issues in the use of cytotoxic chemotherapy in older patients.2. Identify the intrinsic biases in evaluating the elderly.3. Explain how to inform patients in the face of uncertainty.Access and take the CME test online and receive 1 hour of AMA PRA category 1 credit at CME.TheOncologist.com CME CME CASE PRESENTATIONMrs. L, an 84-year-old woman, was undergoing rehabilitation after hip and wrist surgery when a mass in her lung was detected on a hospital admission chest x-ray. Evaluation of the mass revealed that it was small cell lung carcinoma. She had a cough, occasional hemoptysis, chest This material is protected by U.S.

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Resuscitation decision making in the elderly

Abstract: CPR preferences changed after an educational intervention. An improved understanding of quantitative outcome data appears to influence the desire for CPR and therefore should be included in CPR discussions with older patients.

Cited by 119 publications

References 22 publications

Long-term Outcomes After In-Hospital CPR in Older Adults With Chronic Illness

Long-term Outcomes After In-Hospital CPR in Older Adults With Chronic Illness

Pourquoi des dispositions de fin de vie?

Too Old to Care?

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