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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]
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]
Allow Natural Death (AND) is a medical term defining the use of life-extending measures such as cardiopulmonary resuscitation (CPR). These orders emphasize patient comfort and pain management instead of life extension. [1] Currently, American medical communities utilize " do not resuscitate," (DNR) orders to define patients' medical wishes.
An analysis by the Washington Post last December of California hospice data found that the proportion of patients who were discharged alive from the health service rose by about 50 percent between 2002 and 2012. Profit per patient quintupled to $1,975 in California, the newspaper reported.
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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]
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