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Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie 5/2007

01-10-2007 | Artikel

Implementatie van niet-reanimeerbeleid op afdelingen acute geriatrie van Vlaamse ziekenhuizen in 2002 nog niet voltooid

Auteurs: C. De Gendt, J. Bilsen, R. Vander Stichele, M. Lambert, N. Van Den Noortgate, L. Deliens

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 5/2007

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Abstract

Do-Not-Resuscitate Policy on Acute Geriatric Wards in Flanders, Belgium. This study describes the historical development and status of a do-not-resuscitate (DNR) policy on acute geriatric wards in Flanders, Belgium. In 2002 (the year Belgium voted a law on euthanasia), a structured mail questionnaire was sent to all head geriatricians of acute geriatric wards in Flanders (N=94). Respondents were asked about the existence, development, and implementation of the DNR policy (guidelines and order forms).
The response was 76.6%. Development of DNR policy began in 1985, with a step-up in 1997 and 2001. In 2002, a DNR policy was available in 86.1% of geriatric wards, predominantly with institutional DNR guidelines and individual, patient-specific DNR order forms. The policy was initiated and developed predominantly from an institutional perspective by the hospital. The forms were not standardized and generally lacked room to document patient involvement in the decision making process.
Implementation of institutional DNR guidelines and individual DNR order forms on geriatric wards in Flanders lagged behind that of other countries and was still incomplete in 2002. DNR policies varied in content and scope and were predominantly an expression of institutional defensive attitudes rather than a tool to promote patient involvement in DNR and other end-of-life decisions.
Tijdschr Gerontol Geriatr 2007; 38: 246-254
Literatuur
go back to reference Burns JP, Edwards J, Johnson J, Cassen NH, Truog RD. Do-not-resuscitate order after 25 years. Crit Care Med 2003;31:1543-1550.CrossRefPubMed Burns JP, Edwards J, Johnson J, Cassen NH, Truog RD. Do-not-resuscitate order after 25 years. Crit Care Med 2003;31:1543-1550.CrossRefPubMed
go back to reference Vetsch G, Uehlinger DE, Zuercher Zenklusen RM. DNR orders at a tertiary care hospital--are they appropriate? Swiss Med Wkly 2002;132:190-196.PubMed Vetsch G, Uehlinger DE, Zuercher Zenklusen RM. DNR orders at a tertiary care hospital--are they appropriate? Swiss Med Wkly 2002;132:190-196.PubMed
go back to reference Mello M, Jenkinson C. Comparison of medical and nursing attitudes to resuscitation and patient autonomy between a British and an American teaching hospital. Soc Sci Med 1998;46:415-424.CrossRefPubMed Mello M, Jenkinson C. Comparison of medical and nursing attitudes to resuscitation and patient autonomy between a British and an American teaching hospital. Soc Sci Med 1998;46:415-424.CrossRefPubMed
go back to reference Frank C, Heyland DK, Chen B, Farquhar D, Myers K, Iwaasa K. Determining resuscitation preferences of elderly inpatients: a review of the literature. CMAJ 2003;169:795-799.PubMed Frank C, Heyland DK, Chen B, Farquhar D, Myers K, Iwaasa K. Determining resuscitation preferences of elderly inpatients: a review of the literature. CMAJ 2003;169:795-799.PubMed
go back to reference Cherniack EP. Increasing use of DNR orders in the elderly worldwide: whose choice is it? J Med Ethics 2002;28:303-307.CrossRefPubMed Cherniack EP. Increasing use of DNR orders in the elderly worldwide: whose choice is it? J Med Ethics 2002;28:303-307.CrossRefPubMed
go back to reference Dautzenberg PLJ, Hooyer C, Schonwetter RS et al. Cardiopulmonary resuscitation policy in aged inpatients. Basic considerations when etering decision-making in the psychogeriatric field. Geriatrie Forschung 1993;3:175-183. Dautzenberg PLJ, Hooyer C, Schonwetter RS et al. Cardiopulmonary resuscitation policy in aged inpatients. Basic considerations when etering decision-making in the psychogeriatric field. Geriatrie Forschung 1993;3:175-183.
go back to reference Hayes S, Stewart K. The role of audit in making do not resuscitate decisions. J Eval Clin Pract 1999;5:305-312.CrossRefPubMed Hayes S, Stewart K. The role of audit in making do not resuscitate decisions. J Eval Clin Pract 1999;5:305-312.CrossRefPubMed
go back to reference Butler JV, Pooviah PK, Cunningham D et al. Improving decision-making and documentation relating to do not attempt resuscitation orders. Resuscitation 2003;57:139-144.CrossRefPubMed Butler JV, Pooviah PK, Cunningham D et al. Improving decision-making and documentation relating to do not attempt resuscitation orders. Resuscitation 2003;57:139-144.CrossRefPubMed
go back to reference Manias E. Australian nurses' experiences and attitudes in the "Do Not Resuscitate" decision. Res Nurs Health 1998;21:429-441.CrossRefPubMed Manias E. Australian nurses' experiences and attitudes in the "Do Not Resuscitate" decision. Res Nurs Health 1998;21:429-441.CrossRefPubMed
go back to reference O'Toole EE, Youngner SJ, Juknialis BW, Daly B, Bartlett ET, Landefeld CS. Evaluation of a treatment limitation policy with a specific treatment-limiting order page. Arch Intern Med 1994;154:425-432.CrossRefPubMed O'Toole EE, Youngner SJ, Juknialis BW, Daly B, Bartlett ET, Landefeld CS. Evaluation of a treatment limitation policy with a specific treatment-limiting order page. Arch Intern Med 1994;154:425-432.CrossRefPubMed
go back to reference Landon L. 2000 Amulree Essay Prize. CPR--when is it acceptable to withhold it? And a hospital survey of 'not for CPR' orders. Age Ageing 2000;29-S1:9-16. Landon L. 2000 Amulree Essay Prize. CPR--when is it acceptable to withhold it? And a hospital survey of 'not for CPR' orders. Age Ageing 2000;29-S1:9-16.
go back to reference Castle N, Owen R, Kenward G, Ineson N. Pre-printed 'do not attempt resuscitation' forms improve documentation? Resuscitation 2003;59:89-95.CrossRefPubMed Castle N, Owen R, Kenward G, Ineson N. Pre-printed 'do not attempt resuscitation' forms improve documentation? Resuscitation 2003;59:89-95.CrossRefPubMed
go back to reference Jacobson JA, Kasworm E. May I take your order: a user-friendly resuscitation status and medical treatment plan form. Qual Manag Health Care 1999;7:13-20.PubMed Jacobson JA, Kasworm E. May I take your order: a user-friendly resuscitation status and medical treatment plan form. Qual Manag Health Care 1999;7:13-20.PubMed
go back to reference Tolle SW, Tilden VP, Nelson CA, Dunn PM. A prospective study of the efficacy of the physician order form for life-sustaining treatment. J Am Geriatr Soc 1998;46:1097-1102.PubMed Tolle SW, Tilden VP, Nelson CA, Dunn PM. A prospective study of the efficacy of the physician order form for life-sustaining treatment. J Am Geriatr Soc 1998;46:1097-1102.PubMed
go back to reference Dautzenberg PL, Bezemer PD, Duursma SA, Schonwetter R, Hooyer C. The frequency of "do-not-resuscitate" order in aged in-patients: effect of patient- and non-patient-related factors. Neth J Med 1994;44:78-83.PubMed Dautzenberg PL, Bezemer PD, Duursma SA, Schonwetter R, Hooyer C. The frequency of "do-not-resuscitate" order in aged in-patients: effect of patient- and non-patient-related factors. Neth J Med 1994;44:78-83.PubMed
go back to reference Junod Perron N, Morabia A, de Torrenté A. Evaluation of do not resuscitate orders (DNR) in a Swiss community hospital. J Med Ethics 2002;28:364-367.CrossRefPubMed Junod Perron N, Morabia A, de Torrenté A. Evaluation of do not resuscitate orders (DNR) in a Swiss community hospital. J Med Ethics 2002;28:364-367.CrossRefPubMed
go back to reference O'Keeffe ST. Development and implementation of resuscitation guidelines: a personal experience. Age Ageing 2001;30:19-25.CrossRefPubMed O'Keeffe ST. Development and implementation of resuscitation guidelines: a personal experience. Age Ageing 2001;30:19-25.CrossRefPubMed
go back to reference Richter J, Eisemann MR. Attitudinal patterns determining decision-making in the treatment of the elderly: a comparison between physicians and nurses in Germany and Sweden. Intensive Care Med 2000;26:1326-1333.CrossRefPubMed Richter J, Eisemann MR. Attitudinal patterns determining decision-making in the treatment of the elderly: a comparison between physicians and nurses in Germany and Sweden. Intensive Care Med 2000;26:1326-1333.CrossRefPubMed
go back to reference Haverkate I, van Delden JJM, van Nijen AB, van der Wal G. Guidelines for the use of do-not-resuscitate orders in Dutch hospitals. Crit Care Med 2000;28:3039-3043.CrossRefPubMed Haverkate I, van Delden JJM, van Nijen AB, van der Wal G. Guidelines for the use of do-not-resuscitate orders in Dutch hospitals. Crit Care Med 2000;28:3039-3043.CrossRefPubMed
go back to reference Haverkate I, van der Wal G. Policies on medical decisions concerning the end of life in Dutch health care institutions. JAMA 1996;275:435-439.CrossRefPubMed Haverkate I, van der Wal G. Policies on medical decisions concerning the end of life in Dutch health care institutions. JAMA 1996;275:435-439.CrossRefPubMed
go back to reference Wet betreffende euthanasie. Belgisch Staatsblad. 22 juni 2002. Wet betreffende euthanasie. Belgisch Staatsblad. 22 juni 2002.
go back to reference Wet betreffende de rechten van de patiënt. Belgisch Staatsblad. 26 september 2002. Wet betreffende de rechten van de patiënt. Belgisch Staatsblad. 26 september 2002.
go back to reference Dillman DA. The Design and Administration of Mail Surveys. Annual Review of Sociology 1991;17:225-249.CrossRef Dillman DA. The Design and Administration of Mail Surveys. Annual Review of Sociology 1991;17:225-249.CrossRef
go back to reference Diggory P, Cauchi L, Griffith D, Jones V, Lawrence E, Mehta A et al. The influence of new guidelines on cardiopulmonary resuscitation (CPR) decisions. Five cycles of audit of a clerk proforma which included a resuscitation decision. Resuscitation 2003;56:159-165.CrossRefPubMed Diggory P, Cauchi L, Griffith D, Jones V, Lawrence E, Mehta A et al. The influence of new guidelines on cardiopulmonary resuscitation (CPR) decisions. Five cycles of audit of a clerk proforma which included a resuscitation decision. Resuscitation 2003;56:159-165.CrossRefPubMed
go back to reference Combs PL, Stahl LD. Implementing a do-not-resuscitate order in an adult day center. Geriatr Nurs 2002;23:312-315.CrossRefPubMed Combs PL, Stahl LD. Implementing a do-not-resuscitate order in an adult day center. Geriatr Nurs 2002;23:312-315.CrossRefPubMed
go back to reference Stolman CJ, Gregory JJ, Dunn D. Do not resuscitate policies of New Jersey hospitals. HEC Forum 1991;3:77-85.CrossRefPubMed Stolman CJ, Gregory JJ, Dunn D. Do not resuscitate policies of New Jersey hospitals. HEC Forum 1991;3:77-85.CrossRefPubMed
go back to reference Choudhry NK, Ma J, Rasooly I, Singer PA. Long-term care facility policies on life-sustaining treatments and advance directives in Canada. J Am Geriatr Soc 1994;42:1150-1153.PubMed Choudhry NK, Ma J, Rasooly I, Singer PA. Long-term care facility policies on life-sustaining treatments and advance directives in Canada. J Am Geriatr Soc 1994;42:1150-1153.PubMed
go back to reference Blondeau D, Lavoie M, Valois P, Keyserlingk EW, Hebert M, Martineau I. The attitude of Canadian nurses towards advance directives. Nurs Ethics 2000;7:399-411.PubMed Blondeau D, Lavoie M, Valois P, Keyserlingk EW, Hebert M, Martineau I. The attitude of Canadian nurses towards advance directives. Nurs Ethics 2000;7:399-411.PubMed
Metagegevens
Titel
Implementatie van niet-reanimeerbeleid op afdelingen acute geriatrie van Vlaamse ziekenhuizen in 2002 nog niet voltooid
Auteurs
C. De Gendt
J. Bilsen
R. Vander Stichele
M. Lambert
N. Van Den Noortgate
L. Deliens
Publicatiedatum
01-10-2007
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Gerontologie en Geriatrie / Uitgave 5/2007
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI
https://doi.org/10.1007/BF03074855

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