Patient Guide Series
Understanding Do Not Resuscitate
(DNR) Decisions
Understanding Do Not Resuscitate (DNR) Decisions What is a Do Not Resuscitate (DNR) Order? It is a medical order that says a person does not want cardiopulmonary resuscitation (CPR) if their heart stops beating or if they stop breathing (in the event of cardiac or respiratory arrest). CPR is invasive, involving chest compressions, and ventilation of the lungs. When a patient has a DNR order, healthcare providers are instructed not to initiate CPR or chest compressions. Your DNR decision is about CPR only and you will receive all the other treatments that you need. Why discussions about DNR Order are important? Open discussions about DNR provide an opportunity for individuals to clarify their preferences regarding resuscitation. This clarity helps healthcare providers make informed decisions that align with the patient's wishes. When is a DNR Order Needed? DNR orders are often considered in the context of what will be most beneficial for the patient, especially in situations where the risks of resuscitation may outweigh the potential benefits. Your healthcare providers will help you understand the situation regarding balancing the principles of doing good with avoiding harm. Making Informed Decisions We hope to encourage open communication of patients with their doctors on the topic of DNR. It is important to involve family members and address common concerns and misconceptions regarding a DNR order. The main reason for choosing DNR order is to understand and respect a person's wishes regarding improved quality of life. This may involve prioritising comfort, pain management, and emotional support over aggressive medical interventions.
The Significance of Planning Care in Advance The significance of planning for DNR order in advance is that it allows individuals to document their desire to avoid CPR, an intervention that may not align with their values or quality-of-life goals. This helps prevent unnecessary and potentially painful treatments when a patient may be in a condition when he/she may not be able to communicate. Frequently Asked Questions (FAQs) Clarifying myths and addressing concerns: Myth: DNR decisions are irreversible. Clarification: DNR decisions can be revisited and revised. It's a dynamic process that can be adjusted based on changes in the individual's health status, preferences, or discussions with healthcare provider Myth: DNR is only for the elderly. Clarification: DNR decisions are not age-specific. They depend on an individual's health status, values, and preferences. People of any age facing serious illness may consider and discuss DNR orders as part of their advance care planning. Fear of abandonment by healthcare providers. Addressing Concern: Healthcare providers remain committed to providing comprehensive care even with a DNR order. They focus on meeting the patient's other medical needs, managing symptoms, and ensuring comfort and dignity. Let us summarise: It is important that patients and their families have open communication with their healthcare providers to be able to make informed decisions about a DNR order. You may want to consider a DNR order for situations when CPR may be considered without benefit and where quality of life is prioritised. Contact Information: If you have questions, please call the hospital's call centre.