Singer G R
Broward General Medical Center, Fort Lauderdale.
J Fla Med Assoc. 1994 Jan;81(1):30-4.
CPR is a procedure from which approximately 15% of patients survive to discharge. Patients have the right to request DNR orders and health professionals have an obligation to provide the information to make decisions. Physicians and patients should discuss advance directives before hospital admission. Patients without decision-making capacity are dependent on advance directives, surrogates or proxies for DNR orders. The most recent version of the Florida statute has improved the procedural mechanism for writing DNR orders but continues to need further refinement.
心肺复苏术是一种约15%的患者能存活至出院的程序。患者有权要求下达“不要复苏”医嘱,而医疗专业人员有义务提供信息以协助决策。医生和患者应在入院前讨论预立医疗指示。无决策能力的患者依赖预立医疗指示、替代决策者或代理人来下达“不要复苏”医嘱。佛罗里达州法规的最新版本改进了下达“不要复苏”医嘱的程序机制,但仍需进一步完善。