Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar


Physiciansand#8217; Experiences of Do-Not-Resuscitate (DNR) Orders in Hematology and Oncology Care and#8211; A Qualitative Study | OMICS International| Abstract
ISSN: 2165-7386

Journal of Palliative Care & Medicine
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
  • Research Article   
  • J Palliat Care Med,
  • DOI: 10.4172/2165-7386.1000275

Physicians’ Experiences of Do-Not-Resuscitate (DNR) Orders in Hematology and Oncology Care – A Qualitative Study

Mona Pettersson*, Mariann Hedström and Anna T. Höglund
Department of Public Health and Caring Sciences, Uppsala University, Sweden
*Corresponding Author : Mona Pettersson RN, PhD candidate, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Box 564, SE-751 22, Sweden, Tel: +46 18 471 66 22, Fax: +46 18 471 66 75, Email:

Received Date: Jul 12, 2016 / Accepted Date: Jul 22, 2016 / Published Date: Jul 25, 2016


Objective: In oncology and hematology care, a patient can have such a poor prognosis that cardiopulmonary resuscitation (CPR) for cardiac arrest is not considered feasible. The responsible physician can then decide to apply a do-not-resuscitate (DNR) order, meaning that neither basic (heart compressions and ventilation) nor advanced (defibrillator or medicines) CPR should be performed. Previous research has found disagreement in relation to DNR decisions among physicians and nurses working in this field. The aim of the present study was to explore the experiences and perceptions of physicians with respect to DNR orders within hematology and oncology care, in order to better understand their specific roles in this decision-making process, with focus on the ethical aspects of the decisions. Methods: Individual interviews were performed with 16 physicians working in hematology and oncology departments at seven hospitals in Sweden. Data were analyzed using systematic text condensation (STC). Results: Two main parts of the data were discerned. The first described the physicians’ different roles in the team in relation to decisions on DNR, as decision maker, patient advocate and mediator for relatives and team member. In the second part the physicians shared their experiences of making ethically challenging decisions on DNR. The experiences ranged from feeling as though they were making themselves God, to regarding a DNR order as one regular medical decision among others. The physicians made decisions on CPR or DNR with the patient's best interests in mind, primarily on medical grounds. However, they also considered ethical aspects of the decision, weighing beneficence versus maleficence. Conclusion: The results indicate that DNR decisions in oncology and hematology care are not only taken on medical grounds, such as the prognosis of the disease and the expected survival after CPR, but also with reference to ethical values, such as patient autonomy and the quality of life after resuscitation.

Keywords: DNR decisions, Do-not-resuscitate, Oncology, Hematology, Ethical values, End-of-life, Palliative care

Post Your Comment Citation
Share This Article
Article Usage
  • Total views: 12802
  • [From(publication date): 7-2016 - Jun 25, 2024]
  • Breakdown by view type
  • HTML page views: 12009
  • PDF downloads: 793