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Shades of blue: The negotiation of limited codes by medical residents

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  • Muller, Jessica H.

Abstract

One of the most difficult decisions facing physicians in contemporary medical practice is whether to initiate or withhold cardiopulmonary resuscitation (CPR) for patients who are critically ill. Because of the problems surrounding these decisions, hospital guidelines have recently been developed for the appropriate use of do-not-resuscitate (DNR) orders. Despite the establishment of these guidelines, problems with the application of DNR orders remain. This study examines one strategy used by internal medicine resident physicians to cope with the problematic nature of decisions regarding resuscitation--the use of partial or slow resuscitation attempts, known as 'limited codes.' It analyzes how these code efforts play a role within the context of resident work by enabling residents to circumvent ethical and practical dilemmas created by the circumtances of their clinical practice.

Suggested Citation

  • Muller, Jessica H., 1992. "Shades of blue: The negotiation of limited codes by medical residents," Social Science & Medicine, Elsevier, vol. 34(8), pages 885-898, April.
    • Handle: RePEc:eee:socmed:v:34:y:1992:i:8:p:885-898
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    Cited by:

    1. Jenkins, Tania M., 2015. "‘It's time she stopped torturing herself’: Structural constraints to decision-making about life-sustaining treatment by medical trainees," Social Science & Medicine, Elsevier, vol. 132(C), pages 132-140.
    2. Foley, Rose-Anna & Hurard, Lucie Lechevalier & Anchisi, Annick & Anchisi, Sandro, 2019. "Rising to the medication's requirements: The experience of elderly cancer patients receiving palliative chemotherapy in the elective oncogeriatrics field," Social Science & Medicine, Elsevier, vol. 242(C).

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