DNAR stands for Do Not Attempt Resuscitation.
Understanding DNAR
DNAR, sometimes also referred to as DNR (Do Not Resuscitate), is a medical instruction. It indicates that if a person's heart or breathing stops, healthcare providers should not attempt to restart it through cardiopulmonary resuscitation (CPR).
Key Points about DNAR
- Meaning: DNAR instructs healthcare teams not to perform CPR, which includes chest compressions, artificial respiration, or defibrillation.
- Purpose: A DNAR order is made to respect a patient's wishes, especially when resuscitation is unlikely to be successful or may cause more harm than benefit.
- Decision-Making: DNAR decisions are made jointly by the patient (if they have capacity) and/or their doctor or healthcare team. This ensures informed decisions based on medical conditions and patient preferences.
- Alternatives: While DNAR focuses on stopping active resuscitation, it does not mean a withdrawal from care. Comfort measures and other treatments can still be provided.
DNAR vs DNACPR
While the terms DNAR and DNR are often used interchangeably, you may also encounter DNACPR. DNACPR stands for Do Not Attempt Cardiopulmonary Resuscitation. DNACPR and DNAR mean the same thing.
How DNAR/DNACPR Works
- Documented: Once a DNAR decision is made, it is typically documented in the patient's medical records.
- Communication: The DNAR status is also communicated to the relevant healthcare team to ensure the patient's wishes are followed.
- Patient Rights: The patient, or their legal representative, always has the right to change or revoke a DNAR order.
Examples of Situations Where DNAR Might Be Considered
- Advanced age and frailty: When someone is very frail, CPR may be unsuccessful or cause significant trauma.
- Terminal illness: In end-of-life care, when curative treatments are no longer effective, and the focus shifts to palliative care.
- Chronic conditions: When someone has severe, chronic health conditions that make resuscitation unlikely to be successful.
Summary
DNAR (Do Not Attempt Resuscitation) or DNACPR (Do Not Attempt Cardiopulmonary Resuscitation) are crucial medical directives that ensure a patient's wishes are respected concerning the use of CPR. These decisions are made with careful consideration and involve the patient and their healthcare team.
