Running Head DO NOT RESUSCITATE 1
DoNot Resuscitate (DNR) are orders that instruct healthcare personnelto withhold CPR (cardiopulmonary resuscitation) in a situation wheresomeone has an “arrest.” CPR includes chest compressions, manuallung inflation, and defibrillation (Braddock & Clark, 2014). Theethical standing of DNR has been brought to question and itsfeasibility reviewed.
DNRorders are written by a physician according to the advice of apatient or a family member that will indicate whether the patientshould receive CPR in a setting of a respiratory or cardiac arrest.As currently implemented, these orders fail to support non-beneficialinterventions and patient autonomy. Due to these failures, patientsare denied a chance to make informed decisions on resuscitations, andpatients who have opted out of getting CPR get it and are harmed byit. DNR discussions do not occur until it is too late in a patient’sailment for them to decide on resuscitation, and many physicians mayfail to provide enough details to allow patients or their familiesmake knowledgeable decisions on resuscitation (Braddock & Clark,2014).
Thequestions that arise are if DNR serves the purpose it was createdfor, how to prevent people from abusing it. Whether DNR is a usefultool in implementing the wishes of a patient, and do patientsunderstand and fully grasp what they are signing for when they chooseto warrant a DNR order (Braddock & Clark, 2014).
TheDNR dilemma can be challenged through changing an organizationculture on the Handling of a patient’s wishes on resuscitation,changing the policy on DNR discussions, and ensuring that healthcareprofessionals enhance their communication skills so as to communicateeffectively to patients. These methods could help bypass thechallenges of DNR discussions and ensure that it is used for itsintended purpose of supporting a patient’s choice (Braddock &Clark, 2014).
Braddockk, C. H.,& Clark, J. D. (2014). (DNAR) Orders.Ethics in Medicine. Retrieved fromhttps://webcache.googleusercontent.com/search?q=cache:OJnGfZvkdaUJ:https://depts.washington.edu/bioethx/topics/dnr.html+&cd=1&hl=en&ct=clnk&client=firefox-b-ab