Preparing for end-of-life: learning from Do Not Attempt Cardiopulmonary Resuscitation decision-making during COVID-19.
Louise RobinsonIain LawrieJake HardTom HewsonDaisy ShawWill ShawJenny ShawPublished in: Postgraduate medical journal (2023)
During the COVID-19 pandemic, Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were made differently. This included more prominent roles for specialties such as psychiatry and doctors in training. Concerns about inappropriate DNAR decisions led to anxiety for doctors, patients and the public. Positive outcomes may have included earlier and better-quality end-of life-discussions. However, COVID-19 exposed the need for support, training and guidance in this area for all doctors. It also highlighted the importance of effective public education about advanced care planning.
Keyphrases
- cardiopulmonary resuscitation
- cardiac arrest
- healthcare
- end stage renal disease
- quality improvement
- decision making
- medical students
- coronavirus disease
- mental health
- ejection fraction
- chronic kidney disease
- sars cov
- newly diagnosed
- peritoneal dialysis
- prognostic factors
- emergency department
- type diabetes
- metabolic syndrome
- skeletal muscle
- patient reported outcomes
- adipose tissue
- physical activity
- insulin resistance
- respiratory syndrome coronavirus
- affordable care act