“不要复苏”医嘱：制定一项政策的必要性。
'Do not resuscitate' orders: the need for a policy.
作者信息
Florin D
机构信息
Hampstead Health Authority, London.
出版信息
J R Coll Physicians Lond. 1993 Apr;27(2):135-8.
Abstract
The use of 'do not resuscitate' (DNR) orders is widespread in UK hospitals, but until recently there has been no formal policy for this practice. The decision not to resuscitate should be made on ethical and medical grounds. The ethical implications for such decisions are explored. A review of current practice reveals considerable variation in the way in which DNR orders are made. Patients are rarely involved in the decision. There have been failures of communication between doctors and nurses, and between consultants and their juniors. These issues have now come to public and professional attention. There is a need for coherent national and local resuscitation policies that should take into account the medical, ethical and practical aspects of DNR decision making.
摘要
“不要复苏”（DNR）医嘱在英国医院中广泛使用，但直到最近，这种做法仍没有正式的政策。不进行复苏的决定应基于伦理和医学理由做出。本文探讨了此类决定的伦理影响。对当前实践的回顾显示，在开具DNR医嘱的方式上存在很大差异。患者很少参与到该决定中。医生与护士之间、顾问医生与其下级医生之间存在沟通不畅的问题。这些问题现已引起公众和专业人士的关注。需要制定连贯的国家和地方复苏政策，该政策应考虑到DNR决策的医学、伦理和实际方面。
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本文引用的文献
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The 'do not resuscitate' decision: guidelines for policy in the adult.“不进行心肺复苏”决策：成人政策指南
J R Coll Physicians Lond. 1993 Apr;27(2):139-40.
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Survival after cardiopulmonary resuscitation in the hospital.医院内心肺复苏后的生存情况。
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