What is a DNI Order?

In long-term care facilities, residents may face situations where they need medical interventions to support their breathing. One important decision in such cases is whether or not to use a procedure called intubation. This decision is often addressed through a Do Not Intubate (DNI) order.

A Do Not Intubate (DNI) order is a medical directive that indicates a person's preference to avoid being intubated. Intubation involves inserting a tube into the airway to help with breathing. A DNI order means that if a person's breathing deteriorates to the point where they can't breathe on their own, healthcare providers won't perform intubation.

Importance

In long-term care settings, residents may have chronic conditions or be nearing the end of life. A DNI order allows residents to express their preferences regarding life-saving interventions, ensuring that their wishes are respected and followed by healthcare providers.

Components

A DNI order typically includes:

• Preference for Intubation: Indicates whether the person wants to be intubated if their breathing becomes severely compromised.
• Alternative Care Preferences: Specifies alternative treatments or comfort measures that the person prefers instead of intubation.
• Documentation: Clearly documents the person's decision regarding intubation in their medical records.

Examples

Mr. Lee

• Mr. Lee is an 80-year-old resident with advanced lung disease. He understands that if his condition worsens, he may need assistance with breathing.