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Advance Care Planning in End of Life Care$
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Keri Thomas, Ben Lobo, and Karen Detering

Print publication date: 2017

Print ISBN-13: 9780198802136

Published to Oxford Scholarship Online: January 2018

DOI: 10.1093/oso/9780198802136.001.0001

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Discussions and decisions about cardiopulmonary resuscitation

Discussions and decisions about cardiopulmonary resuscitation

Chapter:
(p.103) Chapter 10 Discussions and decisions about cardiopulmonary resuscitation
Source:
Advance Care Planning in End of Life Care
Author(s):

David Pitcher

Publisher:
Oxford University Press
DOI:10.1093/oso/9780198802136.003.0010

Discussions and decisions about whether or not cardiopulmonary resuscitation (CPR) should be attempted are challenging for patients and clinicians. Misunderstandings, poor decision making, and communication failures are common and have led to complaints, litigation, and adverse media reports. This chapter considers why decisions and recommendations about CPR and other potentially life-sustaining treatments are an important part of advance care planning (ACP), and are needed in other contexts as well. It summarizes what is needed to achieve high-quality, person-centred planning that is both ethical and lawful, and considers current efforts to develop a scheme that will encourage and support clinicians and their patients in that endeavour.

Keywords:   cardiopulmonary resuscitation, decisions relating to CPR, communication, end-of-life care, ethics, law

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