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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]
The POLST form is usually on brightly colored paper that contains options for the individual depending on their health status. The POLST form generally has sections for the individual to decide whether or not they would want cardiopulmonary resuscitation (CPR), the preferred level of medical interventions, or whether they would want artificially administered nutrition.
ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment. It is an emergency care and treatment plan (ECTP) used in parts of the United Kingdom, in which personalized recommendations for future emergency clinical care and treatment are created through discussion between health care professionals and a person (or their legal proxy or those close to them). [1]
Because it is a service for the dying, a majority of hospice patients have a status of DNR, or do not resuscitate. A nurse from the Vitas inpatient unit later told a social worker from the hospital that Maples’ family had cancelled a standing DNR order on the day she left in the ambulance, according to hospital records.
“I want to be DNR (Do Not Resuscitate) if it is near the end of my life,” she wrote. “And I want to go to a hospice rather than be looked after by one of my brothers and sisters.