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. 2020 Jun;23(6):829-831.
doi: 10.1089/jpm.2019.0486. Epub 2019 Nov 12.

DNR, DNI, and DNO?

Christy E Cauley  1 , Areej R El-Jawahri  2 , Juliet C Jacobsen  2 , Brooks V Udelsman  1 , Vicki A Jackson  2 , Jennifer S Temel  2 , Motaz Qadan  1
Affiliations

DNR, DNI, and DNO?

Christy E Cauley et al. J Palliat Med. 2020 Jun.

Abstract

The addition of a do-not-operate (DNO) section to current medical orders for life-sustaining treatment (MOLST) and physician orders for life-sustaining treatment (POLST) medical order forms would more completely document patients' wishes for invasive interventions at the end of life. We propose a modification of the MOLST and POLST forms, in addition to hospital and electronic medical records, to include a DNO section, in addition to preexisting do-not-resuscitate (DNR) and do-not-intubate (DNI) orders, with the goal of reducing suffering from nonbeneficial surgical interventions in patients with severe illness at the end of life.

Keywords: DNI; DNO; DNR; end of life; goals of care; palliative surgery.

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