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Helping patients with symptoms other than pain 11: Issues around resuscitation

Intermediate Level

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CASE STUDY

John is a 54 year old man who had surgery for a carcinoma of the colon.

He has been deteriorating steadily and is now reaching the end stages of his disease.

He has become increasingly disorientated, chesty and sleepy over the past week.  The clinical team agree that he is within days of death as a result of his cancer.

The doctor on the team feels that John is not for resuscitation and is adamant that John's wife must be asked for permission not to resuscitate John.  On this basis the doctor has stopped John's antibiotics that were started for his chest.