title: The resuscitation status of a patient: a constant dilemma.
abstract: Since the first description of closed chest cardiac massage in 1960, healthcare has evolved considerably. The modern-day skill and expertise of both doctors and nurses in cardiopulmonary resuscitation (CPR) techniques are now supported by an advanced medical technology. Indeed, CPR is now perceived as the definitive life-saving procedure. However, paradoxically, it has also prolonged the process of dying and denied many patients a dignified and peaceful death. It has also denied the patient's loved ones the opportunity to be present at the time of death. The main focus of this article is to explore the current ethical issues in clinical practice relating to determining the resuscitation status of patients. Attention will also be given to patient advocacy, and the nurse's role in supporting this concept.
authors.affiliation: Acute Medicine, Macclesfield District General Hospital, East Cheshire NHS Trust.
authors.forename: J A
authors.initials: JA
authors.lastname: Dean
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000451:nursing* / Q000592:standards*; D003657:Decision Making; D028663:Ethical Theory; D004993:Ethics, Nursing; D006291:Health Policy; D006323:Heart Arrest / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D024802:Nurse's Role; D010344:Patient Advocacy; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D028662:Principle-Based Ethics; D016414:Resuscitation Orders; D012297:Right to Die; D013222:State Medicine / Q000458:organization & administration; D016019:Survival Analysis; D013997:Time Factors; D006113:United Kingdom