The Case. Raymond is an 87 yo WW2 vet with end-stage COPD who also has htn, T2DM, and a history of MI 15 years ago Ray’s dyspnea has worsened over the past 1-2 years and he now spends much of his day confined to his recliner
Amanda Sommerfeldt, MD
Medical Director, Hospice of Mercy
November 5, 2012
Socio-Demographic Information Resuscitation Status at the Time of Hospice Enrollment
Age at enrollment
City of residence
Presence of dependents in the home and relationship of dependent(s) to patient
Mason City, Charles City, Hampton, Forest City, MNIU
Date of admission
Date of discharge if discharged alive
Date of death
Location of death
Death while receiving hospice services (Y/N)Data Collected
Advance Care Planning Information Resuscitation Status at the Time of Hospice Enrollment
Advance Directive or Living Will
Is AD on file in the chart?
Date completed if known
Is DPOA-HC on file in the chart?
Date completed if known
Code Status Information
Code status at admit
Decision maker(s) at admit
Code status change
Date of change if applicable
Person(s) changing code status
Code status outcome
Was patient coded?Data Collected (cont)
1) Bass M. Should patients at the end of life be given the option of receiving CPR? Nursing Times; 105(4): 26-29. 2009.
2) Manisty C and Waxman J. For and against: Doctors should not discuss resuscitation with terminally ill patients. BMJ; 327: 614-16. 2003.
3) Fine PG. CPR in hospice. Hastings Center Report; May-June 2003.
4) Costello J, Horne M. Nurses and health support workers’ views on cardiopulmonary resuscitation in a hospice setting. Intl J Pall Nursing; 9(4): 157-165. 2003.
5) Johnson HM and Nelson A. The acceptability of an information leaflet explaining cardiopulmonary resuscitation policy in the hospice setting: a qualitative study exploring patients’ views. Pall Med; 22: 647-652. 2008.
6) Meystre CJN, Burley NMJ, Ahmedzai S. What investigations and procedures do patients in hospices want? Interview based survey of patients and their nurses. BMJ; 315: 1202-3. Nov 1997.
7) Earle CC, Landrum MB, Souza JM, Neville BA, Weeks JC, Ayanian JZ. Aggressiveness of cancer care near the end of life: Is it a quality-of-care issue? J Clin Onc; 26(23): 3860-66. Aug 2008.
8) Elackattu A and Jalisi S. Living with head and neck cancer and coping with dying when treatments fail. Otolaryngol Clin N Am; 42: 171-184. 2009.
9) Yun YH, Lee MK, Chang YJ, You CH, Kim S, Choi JS, Lim HY, Lee CG, Choi YS, Hong YS, Kim SY, Heo DS, Jeong HS. The life-sutaining treatments among cancer patients at end of life and the caregiver’s experience and perspectives. Support Care Cancer; 18: 189-196. 2010.
10) Eliott JA and Olver IN. The implications of dying cancer patients’ talk on cardiopulmonary resuscitation and do-not-resuscitate orders. Qualitative Health Res; 17: 442-455. Apr 2007.
11) Nilsson ME, Maciejewski PK, Zhang B, Wright AA, Trice ED, Muriel AC, Friedlander RJ, Fasciano KM, Block SD, Prigerson HG. Mental health, treatment preferences, advance care planning, location, and quality of death in advanced cancer patients with dependent children. Cancer; 115: 399-409. 2009.
12) Heyland DK, Frank C, Groll D, Pichora D, Dodek P, Rocker G, Gafni A. Understanding cardiopulmonary resuscitation decision making perspectives of seriously ill hospitalized patients and family members. Chest; 130(2): 419-428. 2006.
13) Hanson LC, Rodgman E. The use of living wills at the end of life. Arch Int Med; 156: 1018-1022. 1996.