According to medical websites, a DNR order
is a medical order written by a doctor.
He added: "They have however agreed to place him on DNR status." A DNR order
, according to Medline Plus, instructs health care providers not to do cardiopulmonary resuscitation if a patient's breathing stops or if the patient's heart stops beating.
The ethics consultants recommended honoring the patient's tattoo, and a DNR order
In the research group, only 40.7% (n=153) of doctors replied to the question about abiding by the DNR order
. Among those who responded, 47.7% (n=73) said that they would abide by the patient's DNR orders
, while 52.3% (n=80) responded that they would not.
We defined hospital DNR rates as the percentage of patients with an early DNR order
among all patients ages 40 and older at each hospital; we excluded severe outlier hospitals with DNR rates less than or greater than the 95th percentile (i.e., 0 percent or more than 25 percent).
(8) EMS providers didn't attempt or halted CPR in most patients with DNR orders
who were found in cardiac arrest and initiated CPR in most patients who chose "attempt CPR." EMS providers initiated CPR in the field on 11 patients (22%) with a DNR order
but discontinued resuscitation en route to the hospital.
70.9% (590) of the deceased patients had a DNR order
. Table 2 shows the distribution of these orders with respect to the total number of deaths per service.
The treating team decided to enter a DNR order
, and the patient died shortly thereafter without benefit of cardiopulmonary resuscitation.
In 1999, David Casarett, MD, and Lainie E Ross, MD, PhD, assessed whether physicians were more likely to override a DNR order
if a hypothetical cardiac arrest was caused iatrogenically.
This column presents a case review for nurses faced with treating patients who have a DNR order
. This case is particularly relevant as many healthcare providers find themselves having to choose between honoring a DNR order
and ensuring QOL, especially for older adults who present with multiple comorbidities (see Figure 1).
When inquired as to why she helped the woman, one of the nurses said that she was never trained to determine if any resident had a DNR order