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Do the ward notes reflect the quality of end-of-life care?
Author(s)Daniel P Sulmasy, Maureen Dwyer, Eric Marx
Journal titleJournal of Medical Ethics, vol 22, no 6, December 1996
Pagespp 344-348
KeywordsTerminal care ; Medical care ; Quality ; Dying ; Hospital services ; United States of America.
AnnotationIn this American study, the authors reviewed hospital medical charts of 19 in-patients with `Do Not Resuscitate' (DNR) orders, for evidence that staff dealt with patient care needs known as Concurrent Care Concerns (CCCs), such as withholding treatments other than resuscitation, and attending to their comfort. Patients, consultants, house officers and nurses were interviewed, and the ward notes were compared with the understandings of these members of staff. Results indicate that chart review for attention to CCCs reflected understandings of patients, house officers, and nurses. However, consultants report more attention to CCCs than is recorded in the ward notes or understood by other observers. Better communication regarding end-of-life care plans should be encouraged. (RH).
Accession NumberCPA-980423233 A
ClassmarkLV: LK: 59: CX: LD: 7T

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