![]() In addition, some jurisdictions may require confirmation by a witness or a second treating physician.DNR/DNAR/AND orders protect and promote patients' autonomy so people can make clear that they do or do not want CPR (ie, to have a code called) if their heart or breathing stops during the hospitalization. In most cases, a DNAR order is preceded by a documented discussion with the patient, family, or surrogate decision maker addressing the patient's wishes about resuscitation interventions. The DNAR order should explicitly describe the resuscitation interventions to be performed in the event of a life-threatening emergency. In many settings, “Allow Natural Death” (AND) is becoming a preferred term to replace DNAR, to emphasize that the order is to allow natural consequences of a disease or injury, and to emphasize ongoing end-of-life care. A Do Not Attempt Resuscitation (DNAR) order is given by a licensed physician or alternative authority as per local regulation, and it must be signed and dated to be valid. The AHA's definition of this hospital order is. COMPETING TERMINOLOGYThe explains the meaning of do not resuscitate (DNR), do not attempt resuscitation (DNAR), and allow natural death (AND) orders., These are different names for the same hospital order that says “Do not call a code or perform CPR when the person's heart stops beating or lungs stop breathing.” The hospital order should correspond to a note in the chart that documents the discussion with the patient and family and details the essential points of the discussion, such as the patient's values and wishes for quality of life that led to the decision. Boozang suggests eliminating the presumed consent approach by having explicit discussions with all patients at hospital admission, as recommended by the American Heart Association (AHA). ![]()
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