Do-Not-Resuscitate (DNR) Orders

What is a do-not-resuscitate order?

A do-not-resuscitate (DNR) order is a medical directive that instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) if a person’s heart stops beating or if they stop breathing. A DNR order is typically requested by a patient or their healthcare proxy (a person designated to make healthcare decisions on their behalf) when the patient does not wish to undergo CPR in the event of cardiac arrest or respiratory failure.

DNR orders are often used for patients who are seriously ill or near the end of life and who do not wish to undergo CPR, which can be a traumatic and invasive procedure. It’s important to note that a DNR order only applies to CPR and does not affect other medical treatments or interventions. Patients with a DNR order may still receive other forms of medical care, such as pain management, antibiotics, or other treatments aimed at keeping them comfortable and improving their quality of life.

DNR orders are legally binding documents, and healthcare providers are obligated to follow them. However, it’s important for patients to discuss their wishes regarding resuscitation with their healthcare providers and loved ones to ensure that their wishes are understood and respected.

What types of conditions do people have who do a DNR order?

People who choose to have a do-not-resuscitate (DNR) order often have serious or terminal illnesses, such as:

1. Advanced Cancer: Patients with advanced cancer may choose a DNR order as part of their end-of-life care plan.
2. End-Stage Heart Failure: Patients with severe heart failure may opt for a DNR order if they do not wish to undergo CPR in the event of cardiac arrest.
3. Chronic Obstructive Pulmonary Disease (COPD): Patients with severe COPD may choose a DNR order if they do not wish to be resuscitated in the event of respiratory failure.
4. Advanced Age: Older adults who are frail or have multiple chronic illnesses may choose a DNR order as part of their advance care planning.
5. Neurological Disorders: Patients with advanced neurological disorders, such as Parkinson’s disease or amyotrophic lateral sclerosis (ALS), may opt for a DNR order.
6. Terminal Illness: Patients with a terminal illness that is expected to result in death within a relatively short period may choose a DNR order as part of their end-of-life care plan.

It’s important to note that the decision to have a DNR order is a personal one and should be based on an individual’s values, beliefs, and preferences regarding end-of-life care. Healthcare providers can help patients understand their options and make informed decisions about advance care planning, including whether to have a DNR order.

What if I change my mind after signing a DNR order?

If you change your mind after signing a do-not-resuscitate (DNR) order, you can revoke the order at any time. It’s important to communicate your wishes to your healthcare provider and update your medical records to reflect your new decision. You may also want to discuss your decision with your loved ones and healthcare proxy, if you have one, to ensure that they are aware of your wishes.

Revoking a DNR order does not mean that you will automatically receive CPR in the event of cardiac arrest or respiratory failure. Your healthcare provider will still need to assess your condition and determine the appropriate course of action based on your current health status and preferences. If you have any questions or concerns about your DNR order or wish to change your preferences, it’s important to discuss them with your healthcare provider.