Abstract
Do-Not-Resuscitate (DNR) orders are those orders that direct non-initiation of cardiopulmonary resuscitation in the event of cardiopulmonary arrest. To evaluate ethical implications of DNR orders in the clinical pratice. The authors reviewed critically the major ethical issues associated with DNR orders, mainly focusing their risks and benefits, and the application of the Personalistic's view in this orders. Reaction to the widespread use of this orders is not universally positive, and concerns about its possible overuse and abuse have been raised. DNR orders alone can not resolve the complex problem of the terminally ill, patients and the therapeutic futility. From the Personalistic's point of view, in all instances, the physician must remain aware that her primary duty is to hold the patient's dignity.
Highlights
METHODS.The authors reviewed critically the major ethical issues associated with DNR orders, mainly focusing their risks and benefits, and the application of the Personalistics view in this orders
From the Personalistics point of view, in all instances, the physician must remain aware that her primary duty is to hold the patients dignity. [Rev Ass Med Brasil 2001; 47(3): 244-8]
The use and implications of do-not-resuscitate orders in intensive care units
Summary
Os autores realizaram uma análise crítica dos problemas éticos mais importantes associados às ONR, enfocando principalmente os seus riscos e benefícios e aplicando os conceitos da bioética personalista. Ordens para não ressuscitar (ONR) são instrumentos que podem ser empregados por médicos, pacientes, familiares e instituições de saúde, através de formulários próprios e que têm o objetivo de orientar o não início das manobras de ressuscitação cardiopulmonar (RCP) nos casos onde não houver benefícios clínicos comprovados. A primeira é que aproximadamente 25 a 50% dos pacientes podem sobreviver logo após uma PCR, entretanto apenas 5 a 25% desses conseguem recuperar-se ao ponto de receberem alta do hospital. O objetivo desse estudo foi analisar os aspectos éticos envolvidos nessas decisões, principalmente relativos às dificuldades e benefícios potenciais da adoção dessas normativas dentro dos hospitais
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