Document 0579
 DOCN  M9460579
 TI    Patient acceptance of an information sheet about cardiopulmonary
       resuscitation options.
 DT    9404
 AU    Gates RA; Weaver MJ; Gates RH; Department of Nursing, Fitzsimons Army
       Medical Center, Aurora, CO; 80045-5001.
 SO    J Gen Intern Med. 1993 Dec;8(12):679-82. Unique Identifier : AIDSLINE
       MED/94165853
 AB    OBJECTIVE: To determine initial patient acceptance of a cardiopulmonary
       resuscitation/do-not-resuscitate orders (CPR/DNR) information sheet
       intended to facilitate early discussion of CPR preferences. DESIGN:
       Attitudinal survey of adults after reading a CPR/DNR information sheet.
       SETTING: Inpatient wards and outpatient clinics of a tertiary care
       military teaching hospital. PATIENTS: 230 English-reading, mentally
       competent, volunteer patients (95%) of 243 eligible patients completed
       questionnaires. Mean age was 51.5 +/- 17 years; 122 (53%) patients were
       men; 103 (45%) were inpatients. Self-reported diagnoses were: cancer, 42
       (18%); HIV disease, 22 (10%); other medical conditions, 87 (38%); pre-
       and postoperative cases, 35 (15%); and unknown, 44 (19%). RESULTS: 56%
       of the patients had previously thought about CPR options. 10% of the
       patients had actually discussed preferences with their physicians. 90%
       of the patients desired discussion with their physicians and other
       health care providers. 91% of the patients reported feeling better or no
       change after reading the information. 78% of the patients agreed that
       the information sheet would be helpful in discussing their preferences
       and most thought the information should be routinely given to all
       patients. CONCLUSIONS: Written information about CPR options was
       perceived as helpful and acceptable to most patients surveyed. Since a
       few patients initially reported feeling worse after reading the CPR/DNR
       information sheet, written information should not be used alone but may
       facilitate initial communication and discussion.
 DE    Adolescence  Adult  Advance Directives/PSYCHOLOGY  Aged  Aged, 80 and
       over  *Attitude to Health  Cardiopulmonary Resuscitation/PSYCHOLOGY
       Chi-Square Distribution  Colorado  Female  Hospital Bed Capacity, 300 to
       499  Hospitals, Military  Hospitals, Teaching  Human  Male  Middle Age
       *Patient Acceptance of Health Care  Patient Education  Physician-Patient
       Relations  Questionnaires  Resuscitation Orders/*PSYCHOLOGY  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).