In the Midst of Life

(2003) Oncology nurses’ perceptions of their role in resuscitation decisions.
Professional Nurse;
18:12, 710-713.
    British Medical Association, Resuscitation Council (UK), RCN (2007)
Decisions relating to Cardiopulmonary Resuscitation. A joint statement from the British Medical Association, the Resuscitation Council UK and the Royal College of Nursing.
London: BMA, RCUK, RCN.
    Department of Health (2008)
End of Life Care Strategy.
London: DH.
    Department of Health (1991)
The Patient’s Charter.
London: DH.
    Diem, S J
et al.
(1996) Cardiopulmonary resuscitation on television.
New England Journal of Medicine;
334: 24, 1758-1582.
    Ellershaw, J, Ward, C. (2003) Care of the dying patient; the last hours or days of life.
British Medical Journal;
326: 7374, 30-34.
    Ewer, M S
et al.
(2001) Characteristics of cardiac arrest in cancer patients as a predictor of survival after CPR.
Cancer;
92: 7, 1905- 1912.
    NHS End of Life Programme (2007)
Prognostic Indicator Guidance.
    Jevon, P. (2002)
Advanced Cardiac Life Support: A Practical Guide.
Oxford: Butterworth Heinemann.
    Jevon, P. (1999) Do not resuscitate orders: the issues.
Nursing Standard;
13: 40, 45-46.
    Karetzky, PE
et al.
(1995) Cardiopulmonary resuscitation in intensive care unit and non-intensive care patients.
Archives of Internal Medicine;
155: 12, 1277-1280.
    Kouwenhoven, W B
et al.
(i960) Closed chest cardiac compressions.
Journal of the American Medical Association;
173: 1064-1067.
    McGrath, R B. (1987) In-house cardiopulmonary resuscitation after a quarter of a century.
Annals of American Medicine;
16: 12, 1365-1368.
    Miller,DL
et al.
(1993) Factors influencing physicians in recommending in-hospital cardiopulmonary resuscitation.
Archives of Internal Medicine;
153: 17, 1999-2003.
    National Council for Palliative Care (2002a)
Ethical Decision-making in Palliative Care.
London: NCPC.
    National Council for Palliative Care (2002b)
CPR Policies in Action.
London: NCPC.
    Negovsky V A, Gurvitch, A M. (1995) Post-resuscitation disease: a new nosological entity. Its reality and significance.
Resuscitation;
30: 1, 23-27.
    Newman, R. (2002) Developing guidelines for resuscitation in palliative care.
European Journal of Palliative Care;
9: 2, 60-63.
    Nolan, J P
et al.
(2007) Outcome following admission to UK intensive care units after cardiac arrest: a secondary analysis of the ICNARC Case Mix Programme Database.
Anaesthesia; 62:
12,1207-1216.
    Randall, F, Regnard, C. (2005) A framework for making advance decisions on resuscitation.
Clinical Medicine;
5: 4, 354-360.
    Sandroni, C
et al.
(2007) In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival.
Intensive Care Medicine;
33: 2, 237-245.
    Varon, J
et al.
(1998) Should a cancer patient be resuscitated following an in-hospital cardiac arrest?
Resuscitation;
36: 3, 165- 168.
    Vitelli, C
et al.
(1991) Cardiopulmonary resuscitation and the patient with cancer.
Journal of Clinical Oncology;
9: 1, 111-115.
    Wagg, A
et al.
(1995) Cardiopulmonary resuscitation: doctors and nurses expect too
much. Journal of the Royal College of Physicians;
29: 1, 20-24.
    Wallace, K
et al.
(2002) Outcome and cost implications of cardiopulmonary resuscitation in the medical intensive care unit of a comprehensive cancer centre.
Supportive Care in Cancer;
10: 5, 425-429.
    Relatedarticles in Nursing Times
    Acute respiratory failure 2 - nursing management. 16 September 2008
    An audit of nursing observations on ward patients. 24 July 2008
    Guidelines focus on improving patient safety in mental health. 28 November 2008
    National Patient Safety Agency issue an alert on mental health resus. 2 December 2008
    Should patients who are at the end of life be offered resuscitation? 23 January 2009

APPENDIX IV
     
    ThePrinciples of Palliative Care
     
    Palliative care is governed by certain principles, which guide the care given. It:
     
Provides relief from pain and other distressing symptoms
Affirms life and regards death as a normal process
Intends neither to hasten or postpone death
Integrates the psychological and spiritual aspects of patient care
Offers a support system to help the family cope during the patient’s illness and in bereavement
Uses a team approach to address the needs of patients and their families, including counselling, if indicated
Will enhance quality of life and may positively influence the course of the illness
Is applicable early in the course of the illness, in conjunction with other therapies that