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 Outdated policies are impediment for Americans with disabilities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:7/22/2014)... 2014 Altec Products, Inc. , ... announced today their Gold Sponsorship of Sage Summit ... Bay Hotel and Casino in Las Vegas, Nevada. The ... thousands interested in taking advantage of the many opportunities ... business problems and educate themselves on the latest enterprise ...
(Date:7/22/2014)... FL (PRWEB) July 22, 2014 ... opened registration for multiple upcoming real estate investing workshops ... potentially life-changing events are designed to introduce people to ... in the Canadian market. , A total of 9 ... a period of three weeks. The goal is to ...
(Date:7/22/2014)... (PRWEB) July 22, 2014 Industry ... Group announces publication of a new primary ... & Compliance: 2014 ProductMatrixTM Vendor Evaluations ”. This ... organizations with best practice benchmarking, vendor evaluations and ... risk, and compliance software solutions, what tangible benefits ...
(Date:7/22/2014)... 22, 2014 Eating certain foods can not ... well, according to two of the world’s top cosmetic ... Reshad of the Anacapa Dental Art Institute in Oxnard and ... care of one’s teeth. They are specially trained to replace ... are not seeing a dentist regularly, and about two-thirds of ...
(Date:7/22/2014)... July 22, 2014 "The Big Secrets: Ten ... one of the most important books young people can read. , ... will murder some of the “truths” people have been living with ... will the new truths be? From sex to death, this self-help ... 16 to 21, and it tells it like it is. , ...
Breaking Medicine News(10 mins):Health News:Altec Announces Gold Sponsorship of Sage Summit 2014 2Health News:Altec Announces Gold Sponsorship of Sage Summit 2014 3Health News:Brick Buy Brick Announces Multiple 1-Day Real Estate Workshops Coming to Toronto 2Health News:Hypatia Research Group Publishes “Enterprise Governance, Risk & Compliance: Best Practices, Maturity Models and 2014 ProductMatrix Vendor Evaluations” 2Health News:Hypatia Research Group Publishes “Enterprise Governance, Risk & Compliance: Best Practices, Maturity Models and 2014 ProductMatrix Vendor Evaluations” 3Health News:Hypatia Research Group Publishes “Enterprise Governance, Risk & Compliance: Best Practices, Maturity Models and 2014 ProductMatrix Vendor Evaluations” 4Health News:Ventura’s Best Cosmetic Dentists Offer 4 Tips for Improving Dental Health Through Nutrition 2Health News:Ventura’s Best Cosmetic Dentists Offer 4 Tips for Improving Dental Health Through Nutrition 3Health News:Ventura’s Best Cosmetic Dentists Offer 4 Tips for Improving Dental Health Through Nutrition 4Health News:Ventura’s Best Cosmetic Dentists Offer 4 Tips for Improving Dental Health Through Nutrition 5Health News:Strategic Book Publishing & Rights Agency Announces the Release of its Newest Title, “The Big Secrets: Ten Things Every Young Person Should Know About and Why” 2
(Date:7/22/2014)... July 22, 2014  UL (Underwriters Laboratories), a ... U.S. Food and Drug Administration (FDA) has recognized ... for medical devices incorporating lithium or nickel-based batteries. ... for Household and Commercial Batteries, and UL 1642 ... Consensus standards are standards recognized by the ...
(Date:7/22/2014)... 22, 2014 Quantum Materials Corporation (OTCQB:QTMM) (QMC) announced today ... Heaton to the Board of Directors. QMC also announced formation ... , QMC Chief Science Officer and Board of Directors Member, along ... Rice University and Mr. Tomio Gotoh , a pioneer of ... " Quantum Materials welcomes two new outside Board members, ...
(Date:7/21/2014)... /PRNewswire-iReach/ -- Nitrosolution.com, a website that features safe and ... first anniversary in August. The online retailer specializes in ... body,s ability to produce nitric oxide. Called Nitroxyl, it ... a variety of phytonutrients and other natural ingredients that ... nitric oxide production in the arteries and ...
Breaking Medicine Technology:Two UL Battery Safety Standards Are now FDA Recognized Consensus Standards for Medical Devices 2Quantum Materials Announces New Outside Directors and Adds Scientific Advisory Board 2Quantum Materials Announces New Outside Directors and Adds Scientific Advisory Board 3Quantum Materials Announces New Outside Directors and Adds Scientific Advisory Board 4Up and Coming Nitric Oxide Supplements Company Nitrosolution.com Celebrates its One Year Anniversary 2
Cached News: