2.50
Hdl Handle:
http://hdl.handle.net/10755/155122
Type:
Presentation
Title:
Characteristics of Patients with DNR (Do-Not-Resuscitate)
Abstract:
Characteristics of Patients with DNR (Do-Not-Resuscitate)
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Lee, Mi Hee, RN
P.I. Institution Name:Kangnam Sacred Heart Hospital
Title:Staff Nurse
Co-Authors:Hee Sun Kang, PhD
[Research Paper or Poster Presentation] Advances in medical technology have lead to the survival of many people. Patients' needs for a right to die and death with dignity are also increasing. Discussing DNR issue with patients who admitted in general hospital in advance is not common in Korean. Purpose: This study is to examine the characteristics of patients who had DNR and family members involved in making the decisions. Method: This was a descriptive study. Data were collected by EMR review for all patients who had DNR from January 2007 to September 2007 in one university affiliated hospital in Korea. A total of 145 patients were included. Data were collected from August 1, 2007 to October 31, 2007 after IRB was approved. Data were analyzed using the descriptive statistics. Results: The average age for DNR patients were 62.6 years. Specific disease associated with DNR orders were cancer (53.8%), brain related disease or problems (13.8%), liver cirrhosis (9.6%), sepsis (8.3%), cardiac disease, and organ failure. The DNR request had been made most of the time when the patients' vital signs or metal status were changed. More than half of the patients were in a comatose state when DNR order was made and only 18.6% was alert. The persons involved with DNR decision were patients' child (38.9%), spouse (20.7%), daughter or son-in-law, and brother or sister. The average time interval from DNR order to death was 4.9 days. DNR consent was obtained by written (53.8%) or verbal and formats used in consent was in various styles. Conclusions: Opportunities to discuss DNR orders should be offered in advance not only for terminally ill patients but also healthy people. Factors that influence DNR discussion in advance should be identified and obstacles should be minimized. DNR orders must be written (not verbal), and consent forms should be standardized.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCharacteristics of Patients with DNR (Do-Not-Resuscitate)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/155122-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Characteristics of Patients with DNR (Do-Not-Resuscitate)</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lee, Mi Hee, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kangnam Sacred Heart Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">intohuman01@hanmail.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Hee Sun Kang, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Advances in medical technology have lead to the survival of many people. Patients' needs for a right to die and death with dignity are also increasing. Discussing DNR issue with patients who admitted in general hospital in advance is not common in Korean. Purpose: This study is to examine the characteristics of patients who had DNR and family members involved in making the decisions. Method: This was a descriptive study. Data were collected by EMR review for all patients who had DNR from January 2007 to September 2007 in one university affiliated hospital in Korea. A total of 145 patients were included. Data were collected from August 1, 2007 to October 31, 2007 after IRB was approved. Data were analyzed using the descriptive statistics. Results: The average age for DNR patients were 62.6 years. Specific disease associated with DNR orders were cancer (53.8%), brain related disease or problems (13.8%), liver cirrhosis (9.6%), sepsis (8.3%), cardiac disease, and organ failure. The DNR request had been made most of the time when the patients' vital signs or metal status were changed. More than half of the patients were in a comatose state when DNR order was made and only 18.6% was alert. The persons involved with DNR decision were patients' child (38.9%), spouse (20.7%), daughter or son-in-law, and brother or sister. The average time interval from DNR order to death was 4.9 days. DNR consent was obtained by written (53.8%) or verbal and formats used in consent was in various styles. Conclusions: Opportunities to discuss DNR orders should be offered in advance not only for terminally ill patients but also healthy people. Factors that influence DNR discussion in advance should be identified and obstacles should be minimized. DNR orders must be written (not verbal), and consent forms should be standardized.</td></tr></table>en_GB
dc.date.available2011-10-26T13:33:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:33:30Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.