As patients, surrogate decision makers, and clinicians discuss goals of care, questions arise regarding what interventions will physiologically work and what interventions will honor the patient’s values. Do Not Resuscitate Orders are one of the interventions frequently discussed. Our lead contributor on this episode, Mark Repenshek, Executive Director for Ethics & Mission at Hospital Sisters Health System, in Wisconsin is in conversation with guests to explore a number of ethical issues related to Do Not Resuscitate orders that include, but are not limited to: a) Patient/Surrogate desires for full resuscitation despite the intervention’s lack of efficacy in specific clinical circumstances, b) Consideration of partial codes as a “compromise” co-status, c) A physicians’ professional right to limit the use of resuscitation efforts in certain circumstances. The episode also introduces a new series within the EthicsLab Podcast called EthicsLab Essentials. This new series is designed to be an introductory series of modules to enrich ethics committee members.
Our guests in this episode are:
- Dr. Jackie Yuen, AB, MD, DABIM, DABIM (Geriatrics), geriatrician, palliative care physician and medical educator. Dr. Yuen is now teaching at the Chinese University of Hong Kong
- Dr. Michael Ruben, M.D., M.A., neurointensivist and clinical ethicist
- Dr. Gregory Holt, M.D., Ph.D., pulmonary critical care physician at the University of Miami and VA Medical Center in Miami
After registration, participants pursuing CME credit must complete the following steps:
- Step 1: review and acknowledge the EthicsLab Essentials Do Not Resuscitate Orders accreditation and disclosure statements and complete pre-test to evaluate participant knowledge before listening to the podcast episode
- Step 2: listen to the EthicsLab Essentials Do Not Resuscitate Orders podcast episode
- Step 3: complete post test to evaluate participant knowledge gained after listening to the podcast episode
- Step 4: complete evaluation
Once all steps have been successfully completed, participants are issued a PDF certificate that can be printed or saved electronically for submission to accreditation boards.