title: Implementation of do not attempt resuscitate orders in a Japanese nursing home.
abstract: OBJECTIVE
  To investigate whether do not attempt resuscitation (DNAR) orders can be implemented in a standard nursing home in Japan, where routine DNAR orders are not yet common in many facilities including hospitals.
  
  
  METHODS
  Ninety-eight residents in a 100-bed nursing home were evaluated. All of the eligible residents and/or their family members were asked whether they wanted to receive resuscitation, including mechanical ventilation.
  
  
  RESULTS
  The residents were 54 to 101 years of age (mean 83.3), with 27 males and 71 females. After administering the questionnaire, 92 (94%) patients did not want resuscitation and mechanical ventilation.
  
  
  CONCLUSIONS
  In a nursing home, it was possible to obtain advance directives by which most residents/families rejected resuscitation and mechanical ventilation. This could avoid unnecessary and undesirable resuscitation procedures.
authors: 1The Department of Pulmonology, Kameda Medical Center, Chiba, Japan.
authors: Nobuhiro
authors: N
authors: Asai
authors: Yoshihiro
authors: Y
authors: Ohkuni
authors: Lonny
authors: L
authors: Ashworth
authors: Norihiro
authors: N
authors: Kaneko
mesh_terms: D016223:Advance Directives / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes
keywords: DNAR order; advance directives; end of life