Evolution of Investigating Informed Assent Discussions about CPR in Seriously Ill Patients.

ABSTRACT:

Context

Outcomes after cardiopulmonary resuscitation (CPR) remain poor. We have spent 10 years investigating an "informed assent" (IA) approach to discussing CPR with chronically ill patients/families. IA is a discussion framework whereby patients extremely unlikely to benefit from CPR are informed that unless they disagree, CPR will not be performed because it will not help achieve their goals, thus removing the burden of decision-making from the patient/family, while they retain an opportunity to disagree.

Objectives

Determine the acceptability and efficacy of IA discussions about CPR with older chronically ill patients/families.

Methods

This multi-site research occurred in three stages. Stage I determined acceptability of the intervention through focus groups of pa

SUBMITTER: Stapleton RD 

PROVIDER: S-EPMC9179950 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature