DNR, DNAR, or AND? Is Language Important?
- PMID: 22190879
- PMCID: PMC3241061
DNR, DNAR, or AND? Is Language Important?
Abstract
The American Heart Association in 2005 moved from the traditional do not resuscitate (DNR) terminology to do not attempt resuscitation (DNAR). DNAR reduces the implication that resuscitation is likely and creates a better emotional environment to explain what the order means. Allow natural death (AND) is the name recommended in some settings to make the meaning even clearer. Most hospitals still use the obsolete DNR term. Medical staffs should consider moving to DNAR and in some settings to AND. Language is important.
Keywords: AND, allow natural death; CPR, cardiopulmonary resuscitation; DNAR, do not attempt resuscitation; DNR, do not resuscitate; code status.
References
-
- Morrison LJ, Kierzek G, Diekema DS, et al. Part 3: Ethics: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010 Nov 2;122(18 Suppl 3):S665–S675. - PubMed
-
- Boozang KM. Death wish: resuscitating self-determination for the critically ill. Ariz Law Rev. 1993 Spring;35(1):23–85. - PubMed
-
- British Medical Association; Resuscitation Council (UK); Royal College of Nursing. Decisions Relating to Cardiopulmonary Resuscitation: a joint statement from the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. J Med Ethics. 2001 Oct;27(5):310–316; discussion 317-323. - PMC - PubMed
-
- Meyer C. Allow natural death—an alternative to DNR. http://www.hospicepatients.org/and.html. Accessed September 14, 2011.
-
- Diem SJ, Lantos JD, Tulsky JA. Cardiopulmonary resuscitation on television. Miracles and misinformation. N Engl J Med. 1996 Jun 13;334(24):1578–1582. - PubMed
LinkOut - more resources
Full Text Sources