STAYIN' ALIVE? ADDRESSING CPR AND THE DNAR ORDER IN OLDER ADULTS

All sessions are listed in Eastern Time. 

Symposia

  • Date:
  • Time: -
  • Track: Ethics
  • CME/CE: 1.0
  • Q & A: Chat

Co-Moderators: Joseph D. Dixon, MD & Lisa Vargish, MD, MS                                                                                  
Sponsored by the Ethics Committee 
 

This symposium will consist of 1) an introduction in which we discuss clinical outcomes in relation to CPR in older adults; 2) a narrative reflection from the perspective of a geriatrician and son who engaged in Code Status discussions with his father, who initially wanted “everything done” to keep him alive, and the challenges in navigating overlapping identities and roles as provider and family member; and 3) a discussion with two bioethicists from different academic institutions about the controversial unilateral DNAR order. Learning Objectives: (1) review important clinical outcomes regarding CPR in older adults as described in the medical literature, in particular related to morbidity and mortality, and to highlight known disparities in outcomes and care related to CPR; (2) discuss lessons learned from advance care planning discussions between a geriatrician and his elderly father as he approached the end of his life; and (3) describe ethical concerns regarding the unilateral DNAR order and to learn about different institutional approaches to the unilateral DNAR order.

CPR and the Bridge Question: Reflections from a Critical Care Nurse
Lisa J. Borucki, RN CCRN
 
My Father's Wishes: A Narrative Reflection and Lessons Learned from a Geriatrician's Code Status Discussions with His Father
Philip A. Kithas, MD, PhD, FACP, AGS
The Unilateral DNAR Order: Ethical Considerations and Institutional Approaches 
Adam D. Marks, MD, MPH & Margie H. Shaw, JD, MA, PhD