Practical Considerations for Reviving the CPR/DNR Conversation

  title={Practical Considerations for Reviving the CPR/DNR Conversation},
  author={Patricia D. Scripko and David M. Greer},
  journal={The American Journal of Bioethics},
  pages={74 - 75}

Informed consent and the aftermath of cardiopulmonary resuscitation: Ethical considerations

This review integrates disparate literature on the aftermath of CPR and the ethics implications of CPR decision-making as it relates to and is affected by informed consent and subsequent choices for code status by seriously ill patients and their surrogates/proxies within the hospital setting.

Awareness and Ethical Attitudes Toward 'Do-Not-Resuscitate (DNR)' for Cancer Patients

It is suggested that decisions on DNR should be made not by only families and doctors but by patients themselves as well for sufficient explanations and education programs for DNR need to be developed and DNR decision including both patient's and family’s demand should be standardized.

Discussing end-of-life care in the emergency department : to attempt resuscitation or allow a natural death

The interviews revealed areas where patient-provider communication may be improved, and highlighted the need to replace ambiguous language with more frank and detailed discussions of EOL care options.

Finite Knowledge/Finite Power: “Death Panels” and the Limits of Medicine

This essay centers on two primary claims: 1) The modern in-hospital use of CPR and the DNR orders that were developed to limit that use are the result of a cultural and political history that demonstrates that their modern CPR policy could have been otherwise, and that efforts the authors make now can impact the future stages of that history.



Cardiopulmonary resuscitation on television. Miracles and misinformation.

The Survival rates in this study are significantly higher than the most optimistic survival rates in the medical literature, and the portrayal of CPR on television may lead the viewing public to have an unrealistic impression of CPR and its chances for success.

Educating the Elderly: Cardiopulmonary Resuscitation Decisions before and after Intervention

It is emphasized that most elderly male veterans are willing and want to discuss their CPR attitude with physicians and that most have fixed CPR decisions which may be elicited under stable clinical conditions.

Reviving the Conversation Around CPR/DNR

The authors are critical of the current U.S. climate, where CPR and DNR are viewed as two among a panoply of patient choices, and point to UK practice as an alternative.

The Cardiopulmonary Resuscitation-Not-Indicated Order: Futility Revisited

CPR-not-indicated policies may be a way to increase the patient's or surrogate's autonomy by limiting their choices to only those treatments that offer achievable goals, and the pressure to control costs is greater now than it has been in the past.

Code status discussions and goals of care among hospitalised adults

Addressing CPR outcome probabilities and goals of care during code status discussions may improve patients’ knowledge and influence their preferences.

The Death of Common Sense: How Law Is Suffocating America

If Howard plays his cards right, he may be on the brink of creating his own intemal industry along the lines of Peters and Waterman's, "In Search of Excellence." There appears to be a broad range of

A national survey of U.S. internists’ experiences with ethical dilemmas and ethics consultation

While most internists recall recent ethical dilemmas in their practices, those with the least preparation and experience have the least access to ethics consultation, and health care organizations should improve the accessibility and responsiveness of ethics consultation when needed.

Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly.

The proportion of in-hospital deaths preceded by CPR increased, whereas the proportion of survivors discharged home after undergoing CPR decreased, and black race was associated with higher rates of CPR but lower rates of survival after CPR.