Use Allow Natural Death Instead of DNR
Автор: EM Note
Загружено: 2025-05-16
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Use Allow Natural Death Instead of DNR
Discussing Code Status with Patients
Challenges in Traditional Terminology
Patient refuses ventilator but accepts CPR → conflicting wishes
"DNR" may feel abrupt or negative
Need for clearer, compassionate framing
Introducing "Allow Natural Death" (AND)
A Patient-Centered Alternative
Focuses on natural death rather than withholding care
Shifts conversation from "what not to do" to "honoring wishes"
Example phrasing:
"If your heart or breathing stops, would you want us to intervene, or allow a natural death?"
Benefits of the AND Approach
Reduces fear/confusion around "DNR"
Aligns patient, family, and medical team
Emphasizes comfort, dignity, and peaceful dying
Encourages shared decision-making
Why Language Matters
AND promotes acceptance of end-of-life plans
Supported by nursing, ethics, and public health perspectives
Prevents unnecessary suffering from unwanted interventions
Key Takeaway
AND reframes code discussions with compassion
Leads to more meaningful, aligned decisions
"Allow Natural Death" better than "Do Not Resuscitate"
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