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ICU stay before death common in the U.S.



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No. 20
from elkpark
Old Oct 27, 2009, 09:47 AM

Default Re: ICU stay before death common in the U.S.
Originally Posted by bethelstudent View Post
Am I the only one who also thinks tattooing "DNR" on the chest is not a bad idea?
No, lots of us have thought of that -- but I actually had a healthcare attorney in my state inform me that, unfortunately, that would not be legally binding in my state. (It came up casually in conversation -- I had not sought out consultation with an attorney to ask about that ... )
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No. 21
from elkpark
Old Oct 27, 2009, 09:49 AM

Default Re: ICU stay before death common in the U.S.
Originally Posted by awsmfun View Post
Maria Shriver/Arnold Schwarzenegger's mother, at age 88, spent several days in ICU before she died. Was this the best use of healthcare dollars? The end result was the same-she died. Why did they not transfer her to Hospice?
So do many, many other people -- why single her and her family out?
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No. 22
Old Oct 27, 2009, 10:02 AM

Default Re: ICU stay before death common in the U.S.
I believe it is a personal choice and my choice is DNR no heroic procedures. That being said are we willing to make that choice for everyone? I hope not, as healthcare professionals; We should advocate for our pts. This choice will be taken away if we get government health care AKA OBAMACARE. I urge all of you that want to give tour pts and family a choice help stop OBAMACARE today. You can flame away but when the public option is the only plan availabile to you because your employer decided to save the most money by choosing the least expensive plan and the other companies are nolonger providing coverage due to no profit in the market.
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No. 23
from DolceVita
Old Oct 27, 2009, 10:35 AM

Default Re: ICU stay before death common in the U.S.
Originally Posted by bethelstudent View Post
Am I the only one who also thinks tattooing "DNR" on the chest is not a bad idea?
Indeed!
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No. 24
from mamamerlee
Old Oct 27, 2009, 11:08 AM

Default Re: ICU stay before death common in the U.S.
Bethel - - Your post made me laugh! I used to say I wanted a tatoo on my chest, too. You know the one - A circle with CPR in it, and a line across it! NO CPR!!! Lucky for me, my parents discussed their wishes w/me, and gave me POA. My spouse and kids know the drill for my time!
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No. 25
from tewdles
Old Oct 27, 2009, 11:55 AM

Default Re: ICU stay before death common in the U.S.
I am so sick of hearing about OBAMAcare. Talk about a bunch of political crap.
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No. 26
Old Oct 27, 2009, 12:57 PM

Default Re: ICU stay before death common in the U.S.
Originally Posted by 5cats View Post
In England we had the guts to refuse admission to ICU, to put people on a DNR status, here we admit everybody, doesn't matter ......and many families do want that, not facing reality, threatening with lawyers etc, still a very strange odd culture for me, and something I don't like.

5cats
...

In UK you can turn away patients from the ICU enacting some sort of futile care rule? And can you really put people on DNR status without the families permission?
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No. 27
Old Oct 27, 2009, 12:58 PM

Default Re: ICU stay before death common in the U.S.
Originally Posted by CHRISTOPHERSDAD View Post
I believe it is a personal choice and my choice is DNR no heroic procedures. That being said are we willing to make that choice for everyone? I hope not, as healthcare professionals; We should advocate for our pts. This choice will be taken away if we get government health care AKA OBAMACARE. I urge all of you that want to give tour pts and family a choice help stop OBAMACARE today. You can flame away but when the public option is the only plan availabile to you because your employer decided to save the most money by choosing the least expensive plan and the other companies are nolonger providing coverage due to no profit in the market.
I can't wait!
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No. 28
from elkpark
Old Oct 27, 2009, 01:11 PM

Default Re: ICU stay before death common in the U.S.
Originally Posted by geekgolightly View Post
...

In UK you can turn away patients from the ICU enacting some sort of futile care rule? And can you really put people on DNR status without the families permission?
There is no law or regulation in the US (that I'm aware of -- I'm happy to be corrected if I'm wrong) that requires physicians or hospitals to provide care they consider futile; and clients and families have the right to decline any offered treatment they choose, but they can't make physicians or hospitals provide care or treatment that isn't clinically indicated -- but everyone goes along because they're scared of getting sued. It's a sad situation.

Hospitals and physicians today (in the US) could refuse to admit people to ICUs and refuse to code people (and refuse to do lots of other things) -- they just don't.
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No. 29
from 5cats
Old Oct 27, 2009, 01:19 PM

Default Re: ICU stay before death common in the U.S.
Originally Posted by geekgolightly View Post
...

In UK you can turn away patients from the ICU enacting some sort of futile care rule? And can you really put people on DNR status without the families permission?
Yes you can, you normally would discuss it with the family, but at the end it's a medical decision. If if you are in the middle of a code, you won't wait until a family member decides to stop it, if you think it's futile or unethical. We used special DNR forms, the nurse would allways cosign it, and you would write down if the decision was discussed with the family, and if not why.

5cats
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