Nurses to decide on resuscitation
Resuscitation
TV medical dramas often give a rosy view of resuscitation
Experienced nurses should have the authority to decide if patients should be resuscitated, according to new guidelines to health professionals.

Until now only consultants and GPs were allowed to decide on resuscitation.

The guidelines were issued by the British Medical Association (BMA), the Royal College of Nursing and the Resuscitation Council.

The Patients Association welcomed the move, saying nurses were better placed than doctors to know patients' wishes.

Death with dignity

The Resuscitation Council said resuscitation may only work in 5% of cases, and that the guidelines aim to avoid "undignified and unnecessary" resuscitation of patients who would not benefit from it.

The guidelines recommend that only "suitably experienced" nurses should be able to make the judgement.

The Resuscitation Council said that through television dramas people had been led to believe the resuscitation procedure is both more effective and more pleasant than it is in reality.

Sometimes it is a prolonged and traumatic procedure and is not always successful
Dr David Pitcher

"The survival rate may be as low as 5% in certain individuals. The outcomes are extremely variable but they are nothing like what we see on TV.

A Patients Association spokesman said: "Nurses have always been closer to patients who are severely ill than doctors.

"They will know more about the personality of the patient and their attitude towards death during a severe illness."

Nick Moore, of Dignity in Dying, which campaigns for greater patient choice at the end of life, called the changes "common sense".

"Unnecessarily resuscitating a patient in the last weeks of their life can often prolong suffering," he said in a statement.

Inevitable

However, in the case of someone being brought to hospital from the street, a clinical judgment would still have to be made without that information.

The Patients Association spokesman said: "End of life is inevitable for all of us. We need to be reassured that we can reach it and die with dignity in as much comfort as possible with the respectful care of qualified health professionals."

http://news.bbc.co.uk/1/hi/uk/7065010.stm
看到這則新聞很有感覺ㄟ
不知道你們有沒有
想到以前在病房為小寶們CPR時
只有為釗或一些資深的學姊最了解小朋友跟家屬
最能為他們出聲 決定繼續壓或不壓
護理人員才是最接近病人的
才是真正知道什麼是他們要的 在他們無法為自己出聲的時候 最能代表他們的就是(資深)護理人員
電視節目帶給一般民眾的急救觀念
大多是粉紅的有救的可回復出院的
但是事實上還有很大的灰色地帶
例如年事已高的久病病人 急救只是帶來更長久的痛苦的病人等等
應該要有個大眾教育的機會
或是在醫院體系中跟即將面臨的家屬作一個全盤的說明
英國已經頒布新法了
不知何時台灣也可以呢
以病人為中心的照護何時能落實

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