The purpose of this study was to explore the policies and practices of nursing homes with respect to the resuscitation of residents who do not have a do-not-resuscitate (DNR) order. Responses from a survey of 36 facilities revealed that most residents had DNR orders and most facilities were capable of providing basic cardiopulmonary resuscitation (CPR). Less than 30% had performed CPR in the past 6 months, and 22.8% had no written CPR policies. More facilities required CPR in witnessed arrests of non-DNR residents (79.3%) than in unwitnessed arrests (24%). Methods for identifying CPR status need improvement to enable accurate identification and prompt resuscitation of residents who want CPR.
Bibliographical noteFunding Information:
This study from the Nursing Research Center for Long-Term Care of Elders at the University of Minnesota School of Nursing was carried out with grant support from the American Heart Association, #92014170, and from the National center for Nursing Research, #1 R03NR02849-01A1.
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