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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]
The first section in most forms across the country is Section A indicating the option between performing cardiopulmonary resuscitation (CPR) or no CPR or do not attempt to resuscitate. The national form indicates mechanical ventilators, defibrillation and cardioversion under the CPR specifications. [22]
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]
These medical orders (DNR, MOST, POLST) must be signed by a physician and are the most frequently used medical directives. The DNR (Do Not Resuscitate) order expresses the patient's preference to decline cardiopulmonary resuscitation. The names of the other physician orders (MOST or POLST forms) vary by state.
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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