Registered Nurses' Association of Ontario

Cardiopulmonary Resuscitation (CPR) – A Questionnaire for Dialysis Patients

Cardiopulmonary Resuscitation (CPR) – A Questionnaire for Dialysis Patients

(Adapted from Miura et al., 2001)

The following is a series of sample questions to facilitate a discussion about whether or not a patient on

dialysis desires CPR.

1. If your heart and breathing had stopped in your current health status because of cardiac or

brain stroke, would you want to have CPR?

 

2. Suppose that you have developed serious dementia from Alzheimer’s disease. You have lost

self-perception, are unable to recognize your family and have become completely dependent.

Your medical status requires help for diet, walking and having a bath.

a) Would you want to continue dialysis treatment in the situation described above?

b) Would you want to have CPR if your heart and breathing had stopped in the situation described above because of cardiac arrest or brain stroke?

 

3. Suppose that you have terminal cancer with an expected survival of 6 months. You are alert and

competent. Pain can be controlled by medication.

a) Would you want to continue dialysis treatment in the situation described above?

b) Would you want to have CPR if your heart and breathing had stopped in the situation described above because of cardiac arrest or brain stroke?

 

4. Have you ever discussed your preferences regarding CPR with your family members?

 

5. Have you ever discussed your preferences regarding CPR with your physician?

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