Abstract

The purpose of our paper is to challenge the current acceptance of cardiopulmonary resuscitation (CPR) in hospice care. We contend CPR should not be part of the hospice experience because it is contrary to the goals and mission of hospice. While understanding the Medicare conditions of participation do not allow refusal of hospice enrollment based on the presence (or absence) of advance directives, we propose a transparent, common sense approach for hospices to consider when faced with a hospice eligible patient who desires CPR despite medical advice to the contrary.

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