DC Treatment: Difference between revisions
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The '''DC Treat''' checkbox on the Registry page of the PDA tracks the withdrawal of | The '''DC Treat''' checkbox on the Registry page of the PDA tracks the withdrawal of treatment in dying ICU patients when appropriate. | ||
Withdrawal of treatment is not the same as withdrawal of care. DC Treatment in an ICU setting occurs because it is often possible to maintain life for long periods of time without any hope of recovery. Intensive care is a means of supporting organ systems and it is not always curative. Prolonging the process of dying is not in the patient's best interests nor is it ethical. <ref name="ABC"> Winter,B. & Cohen,S. (1999). ABC of intensive care. Withdrawal of treatment. ''BMJ 319'', 306-308.</ref> | |||
== When to code "DC Treat" == | |||
* when the decision is made to discontinue treatment in ICU | |||
* even if [[Palliative Care]] (90400) is provided and coded | |||
== When not to code "DC Treat" == | |||
* "DC Treat" is not coded on Medicine wards | |||
== Additional info needed to de-stub == | == Additional info needed to de-stub == | ||
This article came about because of article [[Palliative care vs DC TX]]; when this and the [[Palliative Care]] article are cleaned up, then [[Palliative care vs DC TX]] should be removed. | * This article came about because of article [[Palliative care vs DC TX]]; when this and the [[Palliative Care]] article are cleaned up, then [[Palliative care vs DC TX]] should be removed. | ||
{{Stub}} | {{Stub}} | ||
[[Category:Data Collection Guide]] | [[Category:Data Collection Guide]] | ||
Revision as of 19:38, 6 May 2008
The DC Treat checkbox on the Registry page of the PDA tracks the withdrawal of treatment in dying ICU patients when appropriate.
Withdrawal of treatment is not the same as withdrawal of care. DC Treatment in an ICU setting occurs because it is often possible to maintain life for long periods of time without any hope of recovery. Intensive care is a means of supporting organ systems and it is not always curative. Prolonging the process of dying is not in the patient's best interests nor is it ethical. <ref name="ABC"> Winter,B. & Cohen,S. (1999). ABC of intensive care. Withdrawal of treatment. BMJ 319, 306-308.</ref>
When to code "DC Treat"
- when the decision is made to discontinue treatment in ICU
- even if Palliative Care (90400) is provided and coded
When not to code "DC Treat"
- "DC Treat" is not coded on Medicine wards
Additional info needed to de-stub
- This article came about because of article Palliative care vs DC TX; when this and the Palliative Care article are cleaned up, then Palliative care vs DC TX should be removed.