Causes of emergency ambulance transport in terminal cancer patients with do not attempt resuscitation (DNAR) decisions

Suzuki Yukie

doi:10.14442/generalist.38.121

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Other Title

蘇生処置を行わない (DNAR) 意思表示のある終末期がん患者の臨死時に救急車要請となる理由
蘇生処置を行わない(DNAR)意思表示のある終末期がん患者の臨死時に救急車要請となる理由 : 救急救命士へのインタビューから把握したこと
ソセイショチオオコナワナイ(DNAR)イシヒョウジノアルシュウマツキガンカンジャノリンシニドキニキュウキュウシャヨウセイトナルリユウ : キュウキュウキュウメイシエノインタビューカラハアクシタコト
─救急救命士へのインタビューから把握したこと─

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Purpose : To determine the reasons why terminal cancer patients with do not attempt resuscitation (DNAR) decisions require emergency ambulance transport.<br>Method : We interviewed 19 paramedics and analyzed their responses.<br>Result : The reasons why terminal cancer patients who have expressed their wishes for DNAR are taken by ambulance to a hospital include : lack of a legally valid system regarding DNAR ; inadequate knowledge regarding ambulance operations ; lack of medical support for death with DNAR decisions ; inadequate systems for such care in nursing homes ; overreliance on paramedics in emergency situations ; family members' wish to avoid death at home and ; panic and unpreparedness of the family members in the event of an emergency.<br>Conclusion : We found that against a background of an inadequate social and legal framework for patients with DNAR decisions, such patients were taken by ambulance to hospitals due to a lack of medical support and familys' lack of understanding of DNAR.

Journal

An Official Journal of the Japan Primary Care Association

An Official Journal of the Japan Primary Care Association 38 (2), 121-126, 2015

JAPAN PRIMARY CARE ASSOCIATION

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