In long-term care, the "R" in CPR is not for resurrection.
OBJECTIVE
To determine whether the concept of the "R" in CPR (cardiopulmonary resuscitation) not meaning resurrection as opposed to resuscitation is a useful explanation to families of patients in long-term care why CPR may not be recommended.


METHODS
A review of the relevant literature and such ideas as futility was used to develop the conceptual basis for the discussion.


CONCLUSIONS
There is enough evidence to support the position that for the frail, elderly, long-term care patient, the concept of resurrection rather than resuscitation can be a useful explanation to families why CPR should not be attempted in most circumstances.
Gordon
M
M
Baycrest Centre for Geriatric Care, 3560 Bathurst St., Toronto, ON M6A 2E1, Canada. m.gordon@baycrest.org
D000368:Aged; D003142:Communication; D016330:Frail Elderly; D006801:Humans; D018447:Medical Futility; D009735:Nursing Homes; D011368:Professional-Family Relations; D011369:Professional-Patient Relations; D012151:Resuscitation; D016414:Resuscitation Orders; D016896:Treatment Outcome