Decision Making in Code Status Discussions

Abstract

Decision Making in Code Status Discussions Abstract. The decision process regarding possible resuscitation measures in case of a cardiac arrest is a typical example of a shared decision-making in which patients and physicians contribute equally. To be able to make informed decisions, patients require information regarding possible advantages and disadvantages of the respective decision options. That is why physicians should discuss the consequences of resuscitation attempts versus focusing on palliative measures. What are patients' preferences and needs? These are important factors that can be very individual and therefore have to be incorporated in the decision-making process accordingly. Prolonging life and preventing death is fundamental for many people, however in some settings alleviating discomfort is a more appropriate goal. Especially in polymorbid patients with life-limiting, palliative diseases resuscitation measures often may not show any benefit but rather prolong suffering. In these settings it is particularly important to discuss the limited therapeutic but palliative options with patients.