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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; Neoplasms; Cardiopulmonary Resuscitation; Resuscitation Orders; Middle Aged; Terminally Ill; Patient Satisfaction; Advance Care Planning; South Australia; Female; Male; Interviews as Topic
Description: © 2007 SAGE Publications.
RMID: 0020070547
DOI: 10.1177/1049732307299198
Published version:
Appears in Collections:Psychology publications

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