Do not attempt resuscitation decisions in a cancer centre: addressing difficult ethical and communication issues.
Talking to patients about 'Do Not Attempt Resuscitation' decisions is difficult for many doctors. Communication about 'Do Not Attempt Resuscitation' decisions should occur as part of a wider discussion of treatment goals at an earlier stage in the patient's illness. A doctor should not initiate any treatment, including cardio-pulmonary resuscitation if he/she does not believe it will benefit the patient. An ethical framework is offered which may be of practical help in clarifying decision-making.
Reid
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Three Counties Cancer Network, Cheltenham General Hospital, Cheltenham G53 7AN, UK.
Jeffrey
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D002173:Cancer Care Facilities; D003142:Communication; D003657:Decision Making; D004992:Ethics, Medical; D005195:Family Relations; D017408:Guidelines as Topic; D006801:Humans; D018447:Medical Futility; D010344:Patient Advocacy; D010817:Physician-Patient Relations; D016414:Resuscitation Orders