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Correspondence
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Volume 337:1477 November 13, 1997 Number 20
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Overriding a Patient's Refusal of Treatment after an Iatrogenic Complication

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 by Casarett, D.
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To the Editor: Casarett and Ross (June 26 issue)1 ignore an important ethical principle that argues for resuscitation of a patient who has had an iatrogenic cardiopulmonary arrest — the principle of patient autonomy. The wishes of the patient were presumably followed in placing the initial do-not-resuscitate (DNR) order, which should have been the result of an informed decision-making process. DNR orders are best used to allow patients to make decisions about refusal of treatment for a foreseeable event.2 An iatrogenic arrest is not usually included in the range of events anticipated by patients when they ask for or agree . . . [Full Text of this Article]

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