TY  - JOUR
T1  - IN-hospital cardiopulmonary resuscitation-reply
AU  - Murphy DJ
Y1  - 1989/03/17
N1  - 10.1001/jama.1989.03420110053015
JO  - JAMA
SP  - 1582
EP  - 1582
VL  - 261
IS  - 11
N2  - In Reply.— 
    I agree with Drs Blackhall, Brody, and Tomlinson. We should discuss advance directives, including CPR, with our patients and their families. The question I raise is whether we must discuss CPR before writing a DNR order for severely demented patients or patients for whom CPR is futile.The policy I propose should not imply that we curtail communication with patients and families. Simply writing a DNR order does not excuse the physician from discussing life-sustaining therapies (feeding tubes, intravenous antibiotics, emergency surgery, and so on) that can profoundly alter the last months or years of our patients' lives. When these issues are addressed, a discussion of CPR will follow.Dr Blackhall suggests that the decision to withhold CPR because of poor quality of life can be made only by patients and their families. In most cases, I agree. But what about the severely demented patient, bedbound with decubitus
SN  - 0098-7484
M3  - doi: 10.1001/jama.1989.03420110053015
UR  - http://dx.doi.org/10.1001/jama.1989.03420110053015
ER  -