"Allow natural death" versus "do not resuscitate": three words that can change a life.
نویسندگان
چکیده
Physician-written "do not resuscitate" DNR orders elicit negative reactions from stakeholders that may decrease appropriate end-of-life care. The semantic significance of the phrase has led to a proposed replacement of DNR with "allow natural death" (AND). Prior to this investigation, no scientific papers address the impact of such a change. Our results support this proposition due to increased likelihood of endorsement with the term AND.
منابع مشابه
Analysis of “Do Not Resuscitate” Order in Patients without Established Life based on the Article 372 of the Islamic Penal Code
Introduction: In the present era, it is possible to maintain vital organs considering the major advances in medical science. Saving the lives of patients and resuscitation their life is possible through medical science and instruments. Although the use of medical instruments is beneficial in most cases and have satisfactory results, but in some cases, severe disorders are observed in function o...
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OBJECTIVES To describe causes of death and factors involved in the decision-making process related to life support limitation at three university-affiliated pediatric intensive care units in the south of Brazil. METHODS A retrospective study was conducted, based on a review of the medical records of all deaths occurring during 2002 at three pediatric intensive care units in Porto Alegre. Thre...
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BACKGROUND From a communication perspective, the term "do not resuscitate" (DNR) is challenging to use in end-of-life discussions because it omits the goals of care. An alternative, "Allow Natural Death" (AND), has been proposed as a better way of framing this palliative care discussion. CASE We present a case where a nurse unsuccessfully discusses end-of-life goals of care using the term DNR...
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متن کاملDo - not - resuscitate order after 25 years * Jeffrey
More than twenty-five years ago, the first hospital policies on orders not to resuscitate were published in the medical literature (1–3). As it was then, few initials in medicine today evoke as much symbolism or controversy as the DNR (donot-resuscitate) order. The development of the DNR order marked a pivotal change in the delivery of medical care, for instead of instructing others to deliver ...
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ورودعنوان ژورنال:
- Journal of medical ethics
دوره 34 1 شماره
صفحات -
تاریخ انتشار 2008