Interview assessment of critically ill patients regarding resuscitation decisions. A case study in ethics research

Jess Amchin*, Samuel Perry, Alan Manevitz, David Cella, David Miller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

To examine how patients perceive and decide their resuscitation status, we monitored 113 admissions to a coronary care unit. We review the research process, including Institutional Review Board concerns, sampling bias and permission by physicians, informed consent, and the patient interview. In-depth psychiatric interviews on 16 patients demonstrated marked misperceptions about resuscitation procedures. Although standardized psychologic measures indicated distress in some of these critically ill patients, the interview itself induced no detected untoward physiologic or emotional reactions. This pilot study demonstrates the feasibility of assessing patients regarding resuscitation status and also identifies relevant methodologic problems to guide future research of resuscitation decision-making.

Original languageEnglish (US)
Pages (from-to)103-108
Number of pages6
JournalGeneral Hospital Psychiatry
Volume11
Issue number2
DOIs
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Psychiatry and Mental health

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