Do Not Resuscitate (DNR) Order

What is a Do Not Resuscitate Order (DNR)?

In long-term care facilities, residents and their families often face tough decisions regarding medical care, especially when it comes to life-saving interventions like cardiopulmonary resuscitation (CPR). A Do Not Resuscitate (DNR) order is a medical directive that indicates a person's preference to avoid receiving CPR if their heart stops beating or if they stop breathing. This order respects the individual's decision to focus on comfort and dignity rather than undergoing aggressive life-saving measures

Importance

In long-term care settings, residents may have chronic illnesses or be in a fragile state of health. For many, the goal of care shifts towards quality of life and comfort. A DNR order ensures that medical interventions align with the resident's preferences and values, promoting a dignified end-of-life experience.

Components

Component	Description
Preference for CPR	Indicates whether the person wants to receive CPR in the event of cardiac arrest.
Comfort Measures	Specifies alternative measures for comfort and palliative care.
Documentation	Clearly documents the resident's decision regarding resuscitation in their medical records.

Examples

Mr. Thompson

Mr. Thompson is an 85-year-old resident with advanced heart failure.
After discussing his goals of care with his family and healthcare team, he decides that he does not want to undergo CPR if his heart were to stop.
Instead, he prefers comfort measures and pain management.
A DNR order is established to ensure his wishes are respected.

Mrs. Patel

Mrs. Patel is a 78-year-old resident with metastatic cancer.