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Type: Journal article
Title: The Implications of Dying Cancer Patients' Talk on Cardiopulmonary Resuscitation and Do-Not-Resuscitate Orders
Author: Eliott, J.
Olver, I.
Citation: Qualitative Health Research, 2007; 17(4):442-455
Publisher: Sage Publications Inc
Issue Date: 2007
ISSN: 1049-7323
Statement of
Jaklin A. Eliott ; Ian N. Olver
Abstract: Current medical emphasis on autonomy requires that patients be primary in authorizing do-not-resuscitate (DNR) orders, countermanding provision of cardiopulmonary resuscitation (CPR) on terminally ill patients. The assumptions that patients make regarding CPR and DNR orders will influence their choices about them. Using discursive analysis, the authors examined the speech of 28 patients dying of cancer regarding the appropriateness of refraining from CPR or of instituting DNR orders. Most participants identified CPR as inappropriate in their circumstances, favoring institution of DNR orders. However, a minority drew on dominant construals of DNR orders and CPR to locate themselves outside the category of suitable candidates for DNR orders, thus justifying a preference for CPR—even though some had current DNR orders. Doctors’ and patients’ assessments of eligibility for DNR orders might not coincide, and when patient autonomy is presumed by patients to be determinant, discrepancies between patient expectations and instituted medical practice are inevitable.
Keywords: Humans
Cardiopulmonary Resuscitation
Resuscitation Orders
Middle Aged
Terminally Ill
Patient Satisfaction
Advance Care Planning
South Australia
Interviews as Topic
Description: © 2007 SAGE Publications.
DOI: 10.1177/1049732307299198
Published version:
Appears in Collections:Aurora harvest 6
Psychology publications

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