Palliative medicine
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Palliative medicine · Apr 2015
Novel legislation for pediatric advance directives: surveys and focus groups capture parent and clinician perspectives.
Legislative measures increasingly require consideration of pediatric inpatients for Medical Orders for Life-Sustaining Treatment. ⋯ A minority of clinicians, but all parents, support universal pediatric Medical Orders for Life-Sustaining Treatment. Immediately prior to the Medical Orders for Life-Sustaining Treatment mandate, many clinicians felt unprepared to lead limitation discussions, and few had written relevant orders in the prior year. Communication training is perceived essential to successful Medical Orders for Life-Sustaining Treatment conversations.
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Palliative medicine · Apr 2015
Age as a factor in do not attempt cardiopulmonary resuscitation decisions: a multicentre blinded simulation-based study.
The European Resuscitation Council Guidelines recognise that there is a lack of direct evidence for the effect of age on outcome following cardiopulmonary resuscitation. ⋯ Age is a highly significant independent factor in a clinicians' decision to withhold cardiopulmonary resuscitation. We highlight a potential gap between current practice and supporting evidence base.