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Cited by 85Palliative Care and End-of-Life IssuesEthics and bioethics in healthcarePalliative and Oncologic Care

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Do-not-resuscitate order: a view throughout the world

Santonocito, Cristina, Ristagno, Giuseppe, Gullo, Antonino, Weil, Max Harry·2013·Journal of Critical Care
DOI 10.1016/j.jcrc.2012.07.005
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Abstract

Resuscitation has the ability to reverse premature death. It can also prolong terminal illness, increase discomfort, and consume resources. The do-not-resuscitate (DNR) order and advance directives are still a debated issue in critical care. This review will focus on several aspects, regarding withholding and/or withdrawing therapies and advance directives in different continents. It is widely known that there is a great diversity of cultural and religious beliefs in society, and therefore, some critical ethical and legal issues have still to be solved. To achieve a consensus, we believe in the priority of continuing education and training programs for health care professionals. It is our opinion that a serious reflection on ethical values and principles would be useful to understand the definition of medical professionalism to make it possible to undertake the best way to avoid futile and aggressive care. There is evidence of the lack of DNR order policy worldwide. Therefore, it appears clear that there is a need for standardization. To improve the attitude about the DNR order, it is necessary to achieve several goals such as: increased communication, consensus on law, increased trust among patients and health care systems, and improved standards and quality of care to respect the patient's will and the family's role.

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Metadata

Authors
Santonocito, C., Ristagno, G., Gullo, A., & Weil, M. H.
Affiliations
  • University of Catania (IT)
  • Mario Negri Institute for Pharmacological Research (IT)
Corresponding author
Santonocito, Cristina
ORCID
Venue
Journal of Critical Care
Publisher
Elsevier BV
Published
2013-02
Volume
28
Issue
1
Pages
14-21
ISSN
0883-9441 (ISSN-L)
DOI
10.1016/j.jcrc.2012.07.005
OpenAlex
W2038339537
Cited by
85
References
0
Citations by year
2026: 1 · 2025: 4 · 2024: 6 · 2023: 2 · 2022: 4 · 2021: 13 · 2020: 4 · 2019: 8 · 2018: 10 · 2017: 7 · 2016: 11 · 2015: 8 · 2014: 6 · 2013: 1
FWCI
4.58
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Critical Care (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Keywords
do-not-resuscitate orders, advance directives, withholding and withdrawing life-sustaining treatment, end-of-life care, critical care ethics, medical law, cultural and religious beliefs, medical professionalism, health professions education, patient-family communication
MeSH terms
Attitude to Health, Cross-Cultural Comparison, Education, Continuing, Health Policy, Humans, Quality of Health Care, Reference Standards, Advance Directives, Resuscitation Orders, Cultural Diversity, Healthcare Disparities

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