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A do-not-resuscitate order (DNR), also known as Do Not Attempt Resuscitation (DNAR), Do Not Attempt Cardiopulmonary Resuscitation (DNACPR [3]), no code [4] [5] or allow natural death, is a medical order, written or oral depending on the jurisdiction, indicating that a person should not receive cardiopulmonary resuscitation (CPR) if that person's heart stops beating. [5]
Since 1987, New York has had a Do Not Resuscitate (DNR) law allowing surrogates to make decisions regarding cardiopulmonary resuscitation on behalf of an adult patient who lacks medical decision-making capacity. [6] In 1991, the law was amended to authorize non-hospital orders not to resuscitate. [7]
In a 1998 study, charts of 180 residents at eight Oregon nursing facilities were evaluated over a one-year period. Where the POLST forms of residents included "do not resuscitate" and "comfort measures only" orders, none of the residents received unwanted cardiopulmonary resuscitation (CPR), intensive care, or ventilator support. [41]
AND terminology represents an ideology of patient care that emphasizes bodily autonomy and respect of the individual. [1] This is in contrast to the terminology associated with DNR, or "do not resuscitate," which has been criticized for placing emphasis on potential negative outcomes associated with hospitalization, i.e. the act of "not" resuscitating is a conscious decision to "not" engage in ...
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Some medical services centres have instituted policy banning the practice. [14]In 1987, New York became the first state in the United States to effectively end the practice by enacting legislation to require medical staff to honour a patient's refusal of cardiopulmonary resuscitation or a do not resuscitate order, and to grant civil and criminal immunity to those who do so or those who perform ...
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