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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]
AND terminology represents an ideology of patient care that emphasizes bodily autonomy and respect of the individual. [1] This is in contrast to the terminology associated with DNR, or "do not resuscitate," which has been criticized for placing emphasis on potential negative outcomes associated with hospitalization, i.e. the act of "not" resuscitating is a conscious decision to "not" engage in ...
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]
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]
Cardiopulmonary resuscitation (CPR) is an emergency procedure consisting of chest compressions often combined with artificial ventilation, or mouth to mouth in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.
While some guidelines do tend to change, certain elements of neonatal resuscitation have persisted. These include: For uncomplicated term or preterm infants, delayed cord clamping is standard so that the child can immediately be placed in the mothers arms to be evaluated. [4] Supplemental oxygen is used judiciously. [4]
However, the injured cells do not actually die until hours after resuscitation. [8] This delayed death can be prevented in vitro by a simple drug treatment even after 20 minutes without oxygen. [9] In other areas of the brain, viable human neurons have been recovered and grown in culture hours after clinical death. [10]
The nursing model is a consolidation of both concepts and the assumption that combine them into a meaningful arrangement. A model is a way of presenting a situation in such a way that it shows the logical terms in order to showcase the structure of the original idea. The term nursing model cannot be used interchangeably with nursing theory.