End of life decisions: attitudes of Finnish physicians

• DOI: 10.1136/jme.2002.001081
• Publication Date: 2004-08-03T00:26:07Z
• Authors: H-M Hildén; P Louhiala; J Palo
• Keywords: Living Wills; Do not resuscitate; Resuscitation Orders; Advance Care Planning; Terminally ill

This study investigated Finnish physicians' experiences of decisions concerning living wills and do not resuscitate (DNR) orders also their views on the role patients family members in these decisions.A questionnaire was sent to 800 physicians representing following specialties: general practice (n = 400); internal medicine 207); neurology 100), oncology 93).The response rate 56%. Most respondents had a positive attitude toward (92%), respect for (86%) wills, 72% reported situations which such will would have been helpful, although experience with use limited. The both benefits problems wills. Thirteen per cent completed own. Half did consider be reliable if they were several years old. Do interpreted two ways: resuscitation forbidden (70%) or only palliative (symptom oriented) care required (30%). documented DNR differently. Seventy discussed always often able communicate, even 76% unable communicate. approach dying patient without difficulty. They felt that education needed.In accept but find are accompanied by problems. Many could avoided conducted progressive discussions about differing interpretations matter concern may affect treatment. promotion autonomy treatment seems rather good, limitations need kept mind.