Format

Send to:

Choose Destination
See comment in PubMed Commons below
Am J Hosp Palliat Care. 2013 Nov;30(7):664-9. doi: 10.1177/1049909112462860. Epub 2012 Oct 11.

Advance directives and do-not-resuscitate orders among patients with terminal cancer in palliative care units in Japan: a nationwide survey.

Author information

  • 11Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Abstract

OBJECTIVE:

To examine the current status of advance directives (ADs) and do-not-resuscitate (DNR) orders among patients with terminal cancer in palliative care units (PCUs) in Japan.

METHODS:

We conducted a retrospective chart review of the last 3 consecutive patients who died in 203 PCUs before November 30, 2010.

RESULTS:

The percentages of patients who had ADs during the final hospitalization for cardiopulmonary resuscitation, mechanical ventilation, intravenous fluid administration, tube feeding, antibiotic administration, and who had appointed a health care proxy were 47%, 46%, 42%, 19%, 18%, and 48%, respectively. Seventy-six percent of the patients had a DNR order. Of the patients with decision-making capacity, 68% were involved in the DNR decision.

CONCLUSIONS:

These findings may reflect positive changes in patients' attitudes toward ADs, in Japan.

KEYWORDS:

advance directives; do-not-resuscitate orders; health care proxy; neoplasms; palliative care units; palliative medicine

PMID:
23064036
[PubMed - in process]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Write to the Help Desk