Doctors' management should not make things worse for patients

BMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7330.172a (Published 19 January 2002) Cite this as: BMJ 2002;324:172
  1. Pam Levack, consultant in palliative medicine (PALevack@aol.com),
  2. Ian Cairns, specialist registrar in palliative medicine,
  3. Phyllis Guild, clinical nurse specialist,
  4. Helen Dryden, clinical nurse specialist
  1. Ninewells Hospital Palliative Care Team, Ninewells Hospital, Dundee DD1 9SY

    EDITOR—Much has been written about the need for “do not resuscitate” orders to be explicitly determined by discussion with patients or their relatives, or both. This has mostly been driven by fear—of litigation (by hospitals), of relatives (that not enough was done), and by patient groups (that some effective treatment was denied). Consequently, trusts have declared that policies based on a controversial document by the BMA, Resuscitation Council, and Royal College of Nursing …

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