Titre
"If I Become a Vegetable, Then no": A Thematic Analysis of How Patients and Physicians Refer to Prognosis When Discussing Cardiopulmonary Resuscitation.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Gerontology & geriatric medicine
Auteur(s)
Sterie, A.C.
Auteure/Auteur
Castillo, C.
Auteure/Auteur
Jox, R.J.
Auteure/Auteur
Büla, C.J.
Auteure/Auteur
Rubli Truchard, E.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
2333-7214
Statut éditorial
Publié
Date de publication
2023
Volume
9
Première page
23337214231208824
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
Background: Documenting decisions about the relevance cardiopulmonary resuscitation (CPR) is a standard practice at hospital admission yet a complex task. Objective: Our aim was to explore how physicians approach and discuss CPR prognosis with older patients recently admitted to a post-acute care unit. Method: We recorded 43 conversations between physicians and patients about the relevancy of CPR that took place at admission at the geriatric rehabilitation service of a Swiss university hospital. Thematic analysis determined (i) who initiated the talk about CPR prognosis, (ii) at what point in the conversation, and (iii) how prognosis was referred to. Results: Prognosis was mentioned in 65% of the conversations. We categorized the content of references to CPR prognosis in five themes: factors determining the prognosis (general health, age, duration of maneuvers); life (association of CPR with life, survival); proximal adverse outcomes (broken ribs, intensive care); long-term adverse outcomes (loss of autonomy, suffering a stroke, pain, generic, uncertainty); and being a burden. Discussion and conclusion: Discussing CPR is important to all patients, including those for whom it is not recommended. Information about CPR prognosis is essential to empower and support patients in expressing their expectations from life-prolonging interventions and attain shared decision-making.
PID Serval
serval:BIB_39879CE3B571
PMID
Open Access
Oui
Date de création
2023-11-16T13:48:25.447Z
Date de création dans IRIS
2025-05-20T14:00:12Z
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Nom
Sterie AC et al. Gerontol Geriatr Med 2023.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by-nc/4.0
Taille
182 KB
Format
Adobe PDF
PID Serval
serval:BIB_39879CE3B571.P001
URN
urn:nbn:ch:serval-BIB_39879CE3B5717
Somme de contrôle
(MD5):a235580025e9a666e56929017e51c651