Abstract

Most nursing home residents are frail.1–3 Cardiopulmonary resuscitation (CPR), when provided without forethought to frail elderly, may cause unintended consequences worse than death, harming the patient, family, care workers involved, and society in general. For the patient, a form of physical discomfort occurs from possible rib and sternal fractures during chest compressions. Patient survival from CPR may lead to unacceptable quality of life, such as a vegetative form, resulting in undignified delay in death.

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