[Decision about DNR for a palliative patient - do I dare to bring up the subject?].
The do not resuscitate decision (DNR) is an important choice of line of action, which should not be made on light grounds, but if neglected, may harm a patient receiving palliative care. Before making the decision, one should evaluate an unsuccessful result of possible resuscitation regarding the restoration of vital functions and quality of life. Evaluation of factors suggesting a poor prognosis should be possible already before arriving at the resuscitation situation. The decision should be discussed with the patient, trying to reach a consensus on the matter. DNRs should be made more actively for patients benefiting from the decision.
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Hirvonen
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Pöyhiä
D003657:Decision Making; D006801:Humans; D010166:Palliative Care; D010817:Physician-Patient Relations; D011379:Prognosis; D011788:Quality of Life; D016414:Resuscitation Orders / Q000523:psychology*