DNR
Stephannie Breeding HCA322: Health Care Ethics & Medical LawLejla Tricic June 29, 2015
In the 1960s, CPR was initially performed by anesthesiologists on adults and children who suffered from witnessed cardiac arrest following reversible illnesses and injuries. Based on the success of this intervention, CPR became the standard of care for all etiologies of cardiopulmonary arrest and the universal presumptive consent to resuscitation evolved (Burns et al., 2003). However, in 1974, the American Heart Association (AHA) recognized that many patients who received CPR survived with significant morbidities and recommended that physicians document in the chart when CPR is not indicated after obtaining patient or surrogate consent (ibid). This documentation formally became known as the DNR order. Recent medical literature encourages reference to this documentation as do-not-attempt-resuscitation (DNAR) and allow a natural death (AND) based on the practical reality that performing CPR is an attempt to save life rather than a guarantee (Venneman et al., 2008) (Braddock, 2012).” In other words, CPR was first before Do Not Resuscitate. In 1974 CPR was performed so much that they started to use consent forms and that’s when it became DNR which allowed people to die naturally and or the way they wanted to.
For this particular paper I choose to use scenario 2: do not resuscitate (DNR). “Do not resuscitate (DNR) order is a part of advanced medical directives allowed by federal law passed in 1991, expanding the notion of patient autonomy to situations in which they may not be able to make crucial medical decisions due to incapacitation (S., 2010).” DNR is a legal documentation that health care will abide by when you are having serious health issues or when your life is coming to an end. DNR paper lets you choose if you want to get CPR or other things that can make you stay alive. This document also lets you decline life support or it will let you choose if you want other medical procedures done. It is very important that patients look over it carefully as this piece of paper could try to save the patient’s life or it could end your life if that’s what you want. It’s very imperative that the medical staff team get the DNR form or that you wear the medical jewelry so the medical team is advised and they can give you the best care that you could possibly want.
Do Not Resuscitate (DNR), is when medical professionals get an alert to do cardiopulmonary resuscitation (CPR) on someone. CPR involves lifesaving methods that could involve mouth to mouth resuscitation and using a defibrillator, intubation, and using cardio tonic drugs to being the person back to life. DNR is a legal document that has been maintained by an individual or substitution, typically for patients that are very ill or may be fatally ill, stopping violent efforts to bring them back to life. DNR allows anyone the right to autonomy, to make their own decisions about healthcare in care they are not able to do so in the future. In my paper I will be analyzing the requirements of Delaware DNR. Secondly I will be identifying the requirments of two hospitals DNRs in Delaware. Three hospitals are in Delaware are as follows Kent General and Christina; I will identify the difference and similarities between the two hospitals DNR requirements and talk about the following; what they are and what should be followed. Finally, the paper will tell you how a DNR is useful if the patient is in hospice care and EMT’s are called.
“Previously physicians were only able to allow patients to die, now they could
Resuscitate them with relatively simple protocols and procedures (Bishop, J., Brothers, K., Perry, J., & Ahmad, A. 2010).” DNR was first started
