Policy statement - Honoring do-not-attempt-resuscitation requests in schools

Robert D. Murray, Wendy K. Anderson, Stephen E. Barnett, Cynthia D. Devore, Rani S. Gereige, Jeffrey H. Lamont, George J. Monteverdi, Jeffrey K. Okamoto, Evan G. Pattishall, Michele M. Roland, Lani S.M. Wheeler, Alexander B. Blum, Sandi Delack, Mary Vernon-Smiley, Robin Wallace, Madra Guinn-Jones, Douglas S. Diekema, Mary Fallat, Armand H. Matheny Antommaria, Ian R. HolzmanAviva L. Katz, Steven R. Leuthner, Lainie F. Ross, Sally A. Webb, Philip L. Baese, Marcia Levetown, Anne D. Lyerly, Ellen Tsai, Jessica Wilen Berg, Alison Baker

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

Increasingly, children and adolescents with complex chronic conditions are living in the community. Federal legislation and regulations facilitate their participation in school. Some of these children and adolescents and their families may wish to forego life-sustaining medical treatment, including cardiopulmonary resuscitation, because they would be ineffective or because the risks outweigh the benefits. Honoring these requests in the school environment is complex because of the limited availability of school nurses and the frequent lack of supporting state legislation and regulations. Understanding and collaboration on the part of all parties is essential. Pediatricians have an important role in helping school nurses incorporate a specific action plan into the student's individualized health care plan. The action plan should include both communication and comfort-care plans. Pediatricians who work directly with schools can also help implement policies, and professional organizations can advocate for regulations and legislation that enable students and their families to effectuate their preferences.

Original languageEnglish
Pages (from-to)1073-1077
Number of pages5
JournalPediatrics
Volume125
Issue number5
DOIs
StatePublished - May 2010

Keywords

  • Do not attempt resuscitation
  • Individualized health care plan
  • School nurses

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