Cardiopulmonary Resuscitation (CPR)
CPR involves life saving procedures performed to restart the heart and the lung functions in an individual who has stopped breathing or whose heart has stopped beating.
The procedure involves chest compressions (pushing down on the chest to pump blood out of the heart into the body), artificial breathing (using a breathing tube to force oxygen into the lungs). Defibrillation (powerful electric shock through the heart) or pacemaker (electric current that stimulates the heart to beat) may be used if needed to restore the heart rhythm to normal. Medications are given through an IV. The outcome of CPR depends, in part, upon the state of the patient and the reason for the event.
Since the patient is unconscious when CPR is performed, it does not hurt while it is being done. When awake, your loved one may complain of some aching in their chest caused by the chest compressions.
Unless a patient or the family informs the Critical Care staff or physican that they do not want CPR, CPR is performed on every patient in the Hospital if their heart or lungs stop working.
Comfort Care/Hospice Care
This care focuses on treating the symptoms of a disease and emotional, as well as religious needs, of the individual. The goal is to attain best quality of life available by relieving suffering, controlling pain and achieving greatest patient independence. Pain linked with a terminal illness can always be treated.
This process does the work of the kidneys by removing waste products from the blood. Blood circulates from the patient through the dialysis machine where it is filtered and then returned to the patient. To have dialysis, a special central venous catheter is needed.
Do Not Resuscitate Order (DNR)
If the patient and family do not want CPR, the physician will write an order not to perform CPR if the patient’s heart or lungs stop working. This is called a Do Not Resuscitate order. This order instructs the medical staff to not attempt (CPR) if the heart stops beating or breathing stops. IMPORTANT: These individuals receive any and all other appropriate treatments.