scholarly journals "Do-not-resuscitate" orders in patients with cancer at a children's hospital in Taiwan

2007 ◽  
Vol 33 (4) ◽  
pp. 194-196 ◽  
Author(s):  
T.-H. Jaing ◽  
P.-K. Tsay ◽  
E.-C. Fang ◽  
S.-H. Yang ◽  
S.-H. Chen ◽  
...  
Keyword(s):  
Do Not Resuscitate ◽  
Children's Hospital ◽  
Patients With Cancer ◽  
Children’S Hospital ◽  
Do Not Resuscitate Orders

Provider and Patient Gender Influence on Timing of Do-Not-Resuscitate Orders in Hospitalized Patients with Cancer

2016 ◽  
Vol 19 (7) ◽  
pp. 728-733 ◽  
Author(s):  
Melissa A. Crosby ◽  
Lee Cheng ◽  
Alma Y. DeJesus ◽  
Elizabeth L. Travis ◽  
Maria A. Rodriguez
Keyword(s):  
Hospitalized Patients ◽  
Do Not Resuscitate ◽  
Patients With Cancer ◽  
Gender Influence ◽  
Patient Gender ◽  
Do Not Resuscitate Orders

Do-Not-Resuscitate Orders for Terminal Patients with Cancer in Teaching Hospitals of Korea

2007 ◽  
Vol 10 (5) ◽  
pp. 1153-1158 ◽  
Author(s):  
Do Yeun Kim ◽  
Kyoung Eun Lee ◽  
Eun Mi Nam ◽  
Hye Ran Lee ◽  
Keun-Wook Lee ◽  
...  
Keyword(s):  
Teaching Hospitals ◽  
Do Not Resuscitate ◽  
Patients With Cancer ◽  
Do Not Resuscitate Orders

scholarly journals Impact of Palliative Medicine Involvement on End-of-Life Services for Patients With Cancer With In-Hospital Deaths

2017 ◽  
Vol 13 (9) ◽  
pp. e749-e759 ◽  
Author(s):  
Alison Wiesenthal ◽  
Debra A. Goldman ◽  
Deborah Korenstein
Keyword(s):  
End Of Life ◽  
Solid Tumor ◽  
Diagnostic Testing ◽  
Cancer Center ◽  
Do Not Resuscitate ◽  
Patients With Cancer ◽  
Dying Patients ◽  
Hospital Deaths ◽  
Do Not Resuscitate Orders

Purpose: Palliative care (PC) has been shown to improve the quality of care and resource utilization for inpatients. We examined the relationship between PC consultation before and during final admission and patterns of care for dying patients at our tertiary cancer center. Methods: We retrospectively reviewed adult patients with solid tumor cancer with a length of stay ≥ 3 days who died in hospital between December 2012 and November 2014. We recorded services, including laboratory testing, imaging, blood products, medications, diet orders, do not resuscitate orders, and consultations, delivered within 3 days of death. We assessed the differences among services delivered to patients with outpatient PC, inpatient PC only, and no PC involvement. Results: Of 695 patients, 21% received outpatient PC, 46% received inpatient PC only, and 33% received no PC. During their final admission, 11.2% of patients received radiation therapy, and 12.5% received tumor-directed therapy, with no differences on the basis PC involvement ( P = .09 to .17). In the last 3 days of life, imaging tests occurred in 50.1%; patients with outpatient or inpatient-only PC underwent fewer studies (43.5% and 47.3%) than did those with no PC involvement (58.1%; P = .048). Do not resuscitate orders were in place within the 6 months before final admission at a greater rate for patients with outpatient PC (22%) than for patients with inpatient-only PC (8%) or those with no PC involvement (12%; P = .002). Conclusion: In this retrospective cohort of patients with solid tumor dying in hospital, few patients received cancer-directed therapies at the end of life. Involvement of PC was associated with a decrease in diagnostic testing and other services not clearly promoting comfort as patients approached death.

Legitimating Do-not-Resuscitate Orders: A Discursive Study of Cancer Patients’ Speech

2003 ◽  
Vol 19 (2) ◽  
pp. 100-106 ◽  
Author(s):  
Jaklin A. Eliott ◽  
Ian N. Olver
Keyword(s):  
Cancer Patients ◽  
Combined Effect ◽  
Western Society ◽  
Do Not Resuscitate ◽  
Structured Interviews ◽  
Patients With Cancer ◽  
Natural Event ◽  
Do Not Resuscitate Orders ◽  
The Individual ◽  
Dnr Orders

This article examines how patients with cancer construct and legitimate do-not-resuscitate (DNR) orders. Semi-structured interviews with 23 outpatients attending an oncology clinic were tape-recorded, transcribed, and analyzed in accordance with discourse-analytic methodology. Results indicate some variability for participants regarding the meaning of DNR orders, which were nonetheless viewed as appropriate and desirable. The patient's subsequent death was legitimated primarily through the invocation of highly valorized discourses within Western society: nature, autonomy, and compassion. Non-compliance with DNR orders, or the instigation of CPR was seen as violating nature, infringing autonomy, and as uncompassionate. The combined effect was to construct dying as a natural event which is the concern of the individual patient and their family, endorsing medical non-intervention in the process. This research provides support, from the patients’ viewpoint, for a policy of non-intervention when death is imminent and inevitable, and for those questioning the wisdom of a default policy of initiating CPR on any hospitalized patient, especially those patients inevitably in the process of dying.

Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry
Keyword(s):  
Tracheostomy Tube ◽  
Pediatric Population ◽  
Interdisciplinary Approach ◽  
Extended Period ◽  
Speech Development ◽  
Tube Placement ◽  
Background Information ◽  
Speaking Valve ◽  
Children's Hospital ◽  
Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

Children’s Hospital of Eastern Ontario Pain Scale

1985 ◽  
Author(s):  
Patrick J. McGrath ◽  
Garry Johnson ◽  
John T. Goodman ◽  
John Schillinger ◽  
Jennifer Dunn ◽  
...  
Keyword(s):  
Pain Scale ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Eastern Ontario
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