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 Outdated policies are impediment for Americans with disabilities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:
TAG: Resuscitation policies long term care settings should reviewed

(Date:7/29/2014)... 2014 DailyGossip.org reveals in its Stop ... a new method of naturally overcoming sciatica, in less ... new method ensure sufferers that the cure is simple ... , The new method is described as very fast, ... with an 8 minutes per day treatment plan. ...
(Date:7/29/2014)... July 29, 2014 Parker Waichman LLP, ... of victims injured by defective drugs and medical devices, ... by plaintiffs in Canada who allege that they were ... with the low testosterone injection Delatestryl (Court File ... 2014 in the Ontario Superior Court of Justice. , ...
(Date:7/29/2014)... Daily Gossip writes in its Fibroids Miracle ... that will teach users how to permanently eliminate uterine fibroids. ... from all over the world. , They have been ... in as quickly as 12 hours. This means that pain ... , The Fibroids Miracle review also indicates that the ...
(Date:7/29/2014)... Daily Gossip indicates in its Natural Vitiligo Treatment ... a popular nutritionist and health specialist. Michael Dawson suffered ... disorder, but none of them worked. , According to ... to look for an alternative vitiligo treatment, which he ... too, to become vitiligo free. , To learn ...
(Date:7/29/2014)... (HealthDay News) --,The time at which heart attack patients ... survival, new research suggests. Showing up at the ... is associated with a 13 percent higher risk for ... Every year, more than 250,000 people suffer a ... heart attack, which is caused by a complete blockage ...
Breaking Medicine News(10 mins):Health News:Stop Sciatica in 8 Minutes Review Reveals the Way to Cure Sciatica Easily 2Health News:Class Action Lawsuit in Canada Alleges Manufacturer of Delatestryl Testosterone Injection Failed to Warn of Cardiovascular Risks, Parker Waichman LLP Reports 2Health News:Class Action Lawsuit in Canada Alleges Manufacturer of Delatestryl Testosterone Injection Failed to Warn of Cardiovascular Risks, Parker Waichman LLP Reports 3Health News:Amanda Leto’s Fibroids Miracle Review Reveals Clinically Proven Uterine Fibroids Cure System 2Health News:Natural Vitiligo Treatment System Review Reveals Michael Dawson’s New Vitiligo Cure Program 2Health News:Heart Attack Patients Treated at Night, Weekends May Have Worse Outcomes 2
(Date:7/29/2014)... LAUDERDALE, Fla. , July 29, 2014 /PRNewswire-iReach/ ... medical service provider, has launched its Medical ... Program.  These services are tailored to the ... excellent standards prompted industry operators to propose that ... MHG Medical,s new program is intended to ...
(Date:7/29/2014)... 29, 2014  Instrumentation Laboratory (IL) today announced the launch ... logo. This is part of a comprehensive rebranding effort by ... Boston, MA , in 1959, IL has ... 1992.  Other companies in the group include Inova Diagnostics ( ... Barcelona, Spain ).  Like IL, these three companies ...
(Date:7/29/2014)... 2014 Cynosure, Inc. (Nasdaq: ... light-based aesthetic treatment systems for high-volume applications, today reported ... 2014. Second-quarter 2014 financial results incorporate the acquisition of ... 2013. Second-Quarter 2014 Financial Highlights ... $72.6 million , Non-GAAP net income of $7.1 ...
Breaking Medicine Technology:MHG Medical Management Services Aims to Change Cruise Industry Standard With New Equipment Maintenance Program 2Instrumentation Laboratory Unveils New Corporate Brand 2Instrumentation Laboratory Unveils New Corporate Brand 3Cynosure Reports Second-Quarter 2014 Financial Results 2Cynosure Reports Second-Quarter 2014 Financial Results 3Cynosure Reports Second-Quarter 2014 Financial Results 4Cynosure Reports Second-Quarter 2014 Financial Results 5Cynosure Reports Second-Quarter 2014 Financial Results 6Cynosure Reports Second-Quarter 2014 Financial Results 7Cynosure Reports Second-Quarter 2014 Financial Results 8Cynosure Reports Second-Quarter 2014 Financial Results 9Cynosure Reports Second-Quarter 2014 Financial Results 10Cynosure Reports Second-Quarter 2014 Financial Results 11Cynosure Reports Second-Quarter 2014 Financial Results 12
Cached News: