Community Hospital Forbids the Use of Limited Code Orders-Reply

James A. Mittelberger, MD, MPH; Bernard Lo, MD
Arch Intern Med. 1995;155(3):330. doi:10.1001/archinte.1995.00430030128016.
Text Size: A A A
Published online

In reply  The decision to limit potentially life-sustaining treatment should be a shared decision between the patient or surrogate and the physician. It should be based on the burdens and benefits of each procedure evaluated in terms of the patient's values and goals.1Thus, the rationale that "you are either going to go all out to save a patient or you should do nothing at all" is seriously flawed. For example, patients who decline chemotherapy may still receive antibiotics for infection and transfusion for anemia.Partial code status is correctly criticized if it is deceptive or irrational. Occasionally it serves to respect patient values such as the case of the patient with severe chronic lung disease and cardiac disease, who is desperately afraid of intubation, but who will accept a brief resuscitation and cardioversion.We believe that do-not-resuscitate orders have many rationales and may convey unintended meanings. Thus, we


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.