Preparing for end-of-life: learning from Do Not Attempt Cardiopulmonary Resuscitation decision-making during COVID-19-Reference-Cited by-同舟云学术

Preparing for end-of-life: learning from Do Not Attempt Cardiopulmonary Resuscitation decision-making during COVID-19

Published:2023-03-11 Issue:1172 Volume:99 Page:516-519
ISSN:0032-5473
Container-title:Postgraduate Medical Journal
language:en
Short-container-title:

Author:

Robinson Louise¹²^ORCID,Lawrie Iain³,Hard Jake⁴,Hewson Tom²,Shaw Daisy⁵,Shaw Will⁶,Shaw Jenny²⁷

Affiliation:

1. Secure Services, Lancashire and South Cumbria NHS Foundation Trust , Preston LSCFT PR3 2JH , United Kingdom

2. Health and Justice Research Network, University of Manchester , Manchester M13 9PL , United Kingdom

3. Palliative Medicine, North Manchester General Hospital and Manchester University Hospitals NHS Foundation Trust , Manchester MUH trust M13 9WL , United Kingdom

4. Secure Environments Group, Royal College of General Practitioners , London GPs MW1 2FB , United Kingdom

5. Royal Bolton NHS Foundation Trust , Bolton BL4 0JR , United Kingdom

6. Stockport Medical Group , Stockport SK2 7NA , United Kingdom

7. Division of Psychology and Mental Health, University of Manchester , Manchester M13 9PL , United Kingdom

Abstract

Abstract During the COVID-19 pandemic, Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were made differently. This included more prominent roles for specialties such as psychiatry and doctors in training. Concerns about inappropriate DNAR decisions led to anxiety for doctors, patients and the public. Positive outcomes may have included earlier and better-quality end-of life-discussions. However, COVID-19 exposed the need for support, training and guidance in this area for all doctors. It also highlighted the importance of effective public education about advanced care planning.

Publisher

Oxford University Press (OUP)

Subject

General Medicine

Link

https://academic.oup.com/pmj/article-pdf/99/1172/516/50615131/qgad020.pdf

Reference34 articles.

1. Treatment and Care at End of Life: Good Practice in Decision Making;General Medical Council (GMC),2022

2. Impact of the COVID-19 pandemic on in-hospital cardiac arrests in the UK;Edwards;Resuscitation,2022