الفهرس 
Treatment, nutrition and transition toOnly 14 pages are availabe for public view
 |  | from | 184 |  |  |
| | | from | 184 | | |
Abstract
Following established ethical and legal principles;
decisions concerning potentially life-prolonging treatment must not be motivated by a desire
to bring about the patient’s death, and must start from a presumption in favour of prolonging
life. This presumption will normally require you to take all reasonable steps to prolong a
patient’s life. However, there is no absolute obligation to prolong life irrespective of the
consequences for the patient, and irrespective of the patient’s views, if they are known or can be
found out.
If cardiac or respiratory arrest is an expected part of the dying process and CPR will not be
successful, making and recording an advance decision not to attempt CPR or (DNAR) will help to
ensure that the patient dies in a dignified and peaceful manner. It may also help to ensure that
the patient’s last hours or days are spent in their preferred place of care.
Critical care professionals are responsible for the integrity of the organ donation process in
collaboration with the organ procurement organization. S o regular training on
recent roles guiding the organ donation process Is a clear
role responsibilities for the ICU team.
In past eras, human death was much easier to define than it is now. When our heart or lungs stopped
working, we died. Sometimes our brain stopped before our heart and lungs did, sometimes
after. But the cessation of these vital organs occurred close together in time. With advances in
life support, the line between who is alive and who is dead has become blurred.
At accident scenes and in hospital rooms, CPR treatments and technologies can re-start and maintain
heart and lung functions. Life support technologies introduced in the 20th century have produced a
new kind of patient, one whose brain does not function, but whose heart and lungs continue to work.
Although there is many efforts to reach a practical definition of death but all these efforts
failed to completely match the physiological and natural process of death.
Terminally ill patients and those close to them must be treated with dignity, respect and
compassion, especially when they are facing difficult situations and decisions about
care. You must respect their privacy, spiritual believes and right to confidentiality.
It is important to have frequent family meetings during an ICU admission which may provide an
opportunity to build trust between the intensivists and the patient’s family.