RT Journal Article SR Electronic T1 Do not resuscitate decisions: discussions with patients. JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 186 OP 190 DO 10.1136/jme.15.4.186 VO 15 IS 4 A1 S G Schade A1 H Muslin YR 1989 UL http://jme.bmj.com/content/15/4/186.abstract AB The problem of psychological pain caused by discussions of do not resuscitate status with patients is addressed. Case histories of patients with such distress are given. We propose that not all patients should be informed of their do not resuscitate status, that the information about such status be given incrementally, and that the giving of further information be guided by the patient's reaction to earlier information. While some affirm the duty of the physician always to inform the patient about his or her do not resuscitate status, we affirm the duty of the physician to determine whether the patient wishes to enter into this discussion.