HOME >> MEDICINE >> NEWS
Resuscitation policies in long-term care settings should be reviewed

Resuscitation policies in care homes and community hospitals should be reviewed, argue experts in this week's BMJ.

Current guidelines require all NHS facilities to provide cardiopulmonary resuscitation unless an overt decision has been made to the contrary. Yet resuscitation is unsuccessful in most people in care homes and community hospitals.

Is it therefore ethical to require all institutions to carry out resuscitation, ask the authors?

In acute hospitals, the overall rate of survival to discharge is about 14% and up to half of survivors will suffer functional or neurological impairment. In public places, typical survival rates are 5-10% with over two-thirds of survivors suffering neurological problems. In care homes and community hospitals, data suggest survival rates of between 0-6%.

When treatment is unlikely to succeed, a presumption of intervention is inappropriate and requires scrutiny, write the authors. Given the low chance of success, it may be that institutions should not offer resuscitation at all, they suggest. Resources saved could be better used in improving the quality of care.

Alternatively, institutions might allow healthcare professionals to make an informed decision on the likelihood of success of resuscitation. If the chances of success were low, a do not resuscitate order could be issued without further discussion unless the patient or resident requested it.

If the chances of success were thought to be higher, resuscitation would be attempted unless the patient had indicated otherwise.

"We believe that the current guidelines should be reviewed," say the authors. "Future advice should have more regard to the needs of non-acute settings."


'"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-207-383-6529
BMJ-British Medical Journal
23-Feb-2006


Page: 1

Related medicine news :

1. Vicente Fox Center and RAND launch joint program to find policies to combat poverty
2. Smoking, growing private hospital care for poor and US flu vaccine policies
3. ACP challenges Congress to make fundamental changes in Medicare payment policies
4. Outdated policies are impediment for Americans with disabilities
5. A system in need of change -- restructuring payment policies to support patient-centered care
6. Restrictive provincial drug policies may have benefits
7. UCLA study reports conflict of interest policies and practices of major journals
8. Focus on opticians shows chain store pricing policies can save independents
9. Political party policies to reduce social inequalities have better health outcomes
10. Ireland leads Europe for anti-tobacco policies while Luxembourg comes last
11. Heart rhythm society issues draft recommendations on performance policies for pacemakers and ICDs

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/29/2017)... (PRWEB) , ... March 29, 2017 , ... ... in many scientific laboratories. The assembly protocols involve many repetitive steps and often ... for automation, which enables the high-throughput needed, and results in a lower error ...
(Date:3/29/2017)... ... March 29, 2017 , ... ... Hills of Pittsburgh now have easier access to the robotic-assisted total-hip and ... Health Network (AHN). Orthopaedic surgeons at Forbes Hospital and Jefferson Hospital recently ...
(Date:3/29/2017)... ... March 29, 2017 , ... AvePoint , the ... American office location in Richmond, Virginia, located at the Riverfront Plaza, 901 East Byrd ... Lieutenant Governor of Virginia Ralph S. Northam and Mayor of Richmond Levar M. Stoney. ...
(Date:3/28/2017)... CA (PRWEB) , ... March 28, 2017 , ... Tuesday, ... asking the American public to take the Diabetes Risk Test to find out if ... the Los Angeles World Airports will light up the evening sky by programming the ...
(Date:3/28/2017)... CARTERSVILLE, Georgia (PRWEB) , ... March 28, 2017 ... ... analyst to its award-winning team. Ruel Williamson brings his extensive knowledge of appraisals, ... been a leader in the real estate valuation industry for more than 40 ...
Breaking Medicine News(10 mins):
(Date:3/29/2017)... 2017 Varian Medical Systems (NYSE: VAR ... second quarter of fiscal year 2017 following the close of ... will be followed by a teleconference available to all interested ... link to the conference call webcast will be available on ... teleconference call and replay: ...
(Date:3/29/2017)... , March 29, 2017   Royal Philips ... in health technology, and PathAI, a company that ... with the aim to develop solutions that improve ... cancer and other diseases. The partnership aims to ... this form of artificial intelligence to be applied ...
(Date:3/29/2017)... , March 29, 2017 Neurim Pharmaceuticals ... Exeltis will obtain exclusive marketing rights for Neurim,s new Rx PedPRM ... ... targeted to treat sleep disorders in children with Autism Spectrum Disorders ... sleep medication approved for children. The collaboration with Exeltis ...
Breaking Medicine Technology:
Cached News: