Implementation of do not attempt resuscitate orders in a Japanese nursing home. Asai, N., Ohkuni, Y., Ashworth, L., & Kaneko, N. The American Journal of Hospice & Palliative Care, 31(1):27-32, 2, 2014.
abstract   bibtex   
OBJECTIVE: To investigate whether do not attempt resuscitation (DNAR) orders can be implemented in a standard nursing home in Japan, where routine DNAR orders are not yet common in many facilities including hospitals. METHOD: Ninety-eight residents in a 100-bed nursing home were evaluated. All of the eligible residents and/or their family members were asked whether they wanted to receive resuscitation, including mechanical ventilation. RESULT: The residents were 54 to 101 years of age (mean 83.3), with 27 males and 71 females. After administering the questionnaire, 92 (94%) patients did not want resuscitation and mechanical ventilation. CONCLUSION: In a nursing home, it was possible to obtain advance directives by which most residents/families rejected resuscitation and mechanical ventilation. This could avoid unnecessary and undesirable resuscitation procedures.
@article{
 title = {Implementation of do not attempt resuscitate orders in a Japanese nursing home},
 type = {article},
 year = {2014},
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 keywords = {Advance Directives/psychology,Aged,Aged, 80 and over,DNAR order,Female,Homes for the Aged,Humans,Japan,Male,Middle Aged,Nursing Homes,advance directives,end of life},
 pages = {27-32},
 volume = {31},
 month = {2},
 city = {1The Department of Pulmonology, Kameda Medical Center, Chiba, Japan.},
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 abstract = {OBJECTIVE: To investigate whether do not attempt resuscitation (DNAR) orders can be implemented in a standard nursing home in Japan, where routine DNAR orders are not yet common in many facilities including hospitals. METHOD: Ninety-eight residents in a 100-bed nursing home were evaluated. All of the eligible residents and/or their family members were asked whether they wanted to receive resuscitation, including mechanical ventilation. RESULT: The residents were 54 to 101 years of age (mean 83.3), with 27 males and 71 females. After administering the questionnaire, 92 (94%) patients did not want resuscitation and mechanical ventilation. CONCLUSION: In a nursing home, it was possible to obtain advance directives by which most residents/families rejected resuscitation and mechanical ventilation. This could avoid unnecessary and undesirable resuscitation procedures.},
 bibtype = {article},
 author = {Asai, N and Ohkuni, Y and Ashworth, L and Kaneko, N},
 journal = {The American Journal of Hospice & Palliative Care},
 number = {1}
}

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