A DNR full term refers to Do-Not-Resuscitate. It is a medical order written by a healthcare provider that instructs other healthcare providers not to perform cardiopulmonary resuscitation (CPR) if a patient's breathing stops or if their heart stops beating.
Understanding DNR Orders
DNR orders are crucial documents reflecting a patient's preferences regarding end-of-life care. They are part of advance care planning, ensuring that medical professionals honor a patient's wishes to forgo life-sustaining measures, specifically CPR.
Key Aspects of DNR Orders:
- Medical Order: DNR is not merely a wish but a formal medical order.
- CPR Avoidance: The primary directive is to not perform CPR, which includes chest compressions and artificial respiration, when the heart and breathing cease.
- Healthcare Provider's Role: A healthcare provider, such as a physician, must issue the DNR order.
- Patient or Proxy Decision: The decision to have a DNR order is made by the patient or their legally authorized representative (proxy), after receiving relevant medical information and understanding the implications.
When is a DNR Order Used?
- Terminal Illness: Patients with terminal illnesses may choose a DNR order to avoid invasive and ultimately futile attempts to revive them.
- Chronic Conditions: Individuals with severe chronic conditions that diminish their quality of life may prefer a DNR.
- Personal Preferences: Any competent adult can opt for a DNR order, reflecting their preference for a natural death.
How Does a DNR Order Work?
- Documentation: DNR orders are documented in the patient's medical record and must be clearly available to healthcare professionals.
- Specifics: DNR orders are specific and only apply to CPR. They do not affect other treatments like pain management, comfort care, or other medical interventions.
- Transfer: DNR orders should travel with patients through different healthcare settings.
Clarification
It's important to emphasize that a DNR order only withholds CPR. It does not mean "do not treat." Individuals with DNR orders may still receive all other appropriate medical care.
In summary, the full term for DNR is Do-Not-Resuscitate, a formal medical order not to administer CPR.
