|
| |
| | Stroke patients with "do not resuscitate" orders are treated worse than those without -- Dobson 331 (7522): 926 -- BMJ |
 | | DNR patients were less likely to receive most of their care in a stroke or rehabilitation unit (20% of DNR patients versus 57% of other patients; P< 0.0001), to be cared for on a stroke unit or by a stroke team (42% versus 70%; P<0.0001), or to be given aspirin (30% versus 42%; P= 0.007). | | | Stroke patients with "do not resuscitate" orders on their medical notes are almost seven times more likely to die in the first 30 days after their stroke than stroke patients without such orders, an English study concludes. | | | They add, "Stroke patients with a DNR order are not receiving optimum care in that they are not being cared for on stroke units or by specialist teams. |
|
http://bmj.bmjjournals.com/cgi/content/full/331/7522/926-b
(540 words)
|
|
| |
| | Policy On Do Not Resuscitate |
| | Resuscitation is a medical procedure which seeks to restore cardiac and/or respiratory function to individuals who have sustained a cardiac and/or respiratory arrest. | | | DNR is a medical order to be given only by authorized health care practitioners. | | | Copies of any state-approved forms of DNR identification should be inserted on the "left-hand side" of the medical chart (where advance directives are maintained). |
|
http://www.clevelandclinic.org/bioethics/policies/dnr.html
(1753 words)
|
|
| |
| | State of California - Do Not Resuscitate |
| | Do not resuscitate (DNR) means no chest compressions, defibrillation, endotracheal intubation, assisted ventilation, or cardiotonic drugs. | | | While it is clear that care givers should acknowledge patients' wishes in regard to resuscitation, caution is needed in the field setting since there is generally no established relationship between the patient and emergency responder, the patient is seen under emergency conditions and accurate identification may be difficult. | | | In rare instances, when the patient is unable to state his or her desire and a family member is present and requests resuscitative measures for the patient, the family member's objection may call into question the validity or applicability of the DNR Form. |
|
http://www.emsa.cahwnet.gov/aboutemsa/dnr.asp
(4937 words)
|
|
| |
| | American Family Physician: Practical guidelines for do-not-resuscitate orders - includes patient information sheet |
| | Do-not-resuscitate (DNR) orders are directives in the medical record that preclude the use of resuscitative measures such as chest compressions, artificial respiration, cardioversion and/or cardioactive medications in the event of cardiopulmonary arrest. | | | As experience with the technique grew and CPR was applied to other patient populations, it became clear that only a minority of patients who had CPR survived to hospital discharge. | | | Thus, a desire to conform to the ethical principles of nonmalfeasance (not doing harm) and autonomy (the right of self-determination) resulted in the development and increased use of DNR orders. |
|
http://www.findarticles.com/p/articles/mi_m3225/is_n6_v50/ai_15863864
(982 words)
|
|
| |
| | Do Not Resuscitate Orders: Ethical Topic in Medicine |
| | Similarly, some patients do change their minds about end-of-life decisions when they actually face them. | | | As mentioned above, a decision to withhold CPR may also arise from a patient's expressed wish that CPR not be performed on her. | | | These undermine the right patients have to be involved in inpatient clinical decisions, and violates the trust patients have in us to give our full effort. |
|
http://eduserv.hscer.washington.edu/bioethics/topics/dnr.html
(1264 words)
|
|
| |
| | DNR-guidebook for patients and families |
| | Your family member Or friend can consent to a DNR order when: - you are terminally ill; or - you are permanently unconscious; or - CPR will not work (would be medically futile); or - CPR would impose an extraordinary burden on you given your medical condition and the expected outcome of CPR. | | | Advanced CPR may involve electric shock, insertion of a tube to open the patient's airway, injection of medication into the heart and in extreme cases, open chest heart massage. | | | In these cases, some patients prefer to be cared for without aggressive efforts at resuscitation upon their death. |
|
http://wings.buffalo.edu/faculty/research/bioethics/dnr-p.html
(1461 words)
|
|
| |
| | Do Not Resuscitate Order - What is it? |
| | You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. | | | An advance directive is a document signed by a competent person giving direction to health care providers about treatment choices in certain circumstances. | | | You must have, in an advance directive, authorized your patient advocate to refuse treatment that could allow you to die. |
|
http://www.med.umich.edu/1libr/aha/umlegal05.htm
(587 words)
|
|
| |
| | ``DO NOT RESUSCITATE'' ORDERS MORE COMMON |
| | DNR only kicks in when there is no pulse or breathing. | | | ``But only if the patient is not breathing or does not have a pulse do we stop working,'' he emphasized. | | | I understand that I may revoke these directions at any time by physical cancellations or destruction of this form and the accompanying bracelet, or by orally expressing a desire to be resuscitated to Emergency Medical Services (EMS) personnel. |
|
http://scholar.lib.vt.edu/VA-news/VA-Pilot/issues/1995/vp951124/11210129.htm
(863 words)
|
|
| |
| | do not resuscitate |
| | These are in addition to the case which led to Bunny losing her own job in opposing a instruction not to resuscitate a disabled child; the carers of the child complained to the UKCC in 1998 when Bunny 's replacement Nurse accepted the instruction. | | | Should a child collapse in school, emergency resuscitation procedures should be carried out immediately and the child transferred to hospital where senior medial staff assume responsibility for the child. | | | These are the same issues that were central to the Waterhouse Report, “Lost in Care”; although the child concerned was not in Local Authority care, the risks to her, following the DNR instruction from a medically unqualified Head Teacher, were of denial of life. |
|
http://www.freedomtocare.org/page146.htm
(2731 words)
|
|
| |
| | Comfort Care / Pre-Hospital Do Not Resuscitate Program |
| | A nurse practitioner may write a DNR order, where this activity is agreed upon by the nurse practitioner and the collaborating physician in written practice guidelines (244 MCR 4.22 (1)). | | | Many have even arranged with their physician, nurse practitioner or physician assistant for a Do Not Resuscitate (DNR) order; an advance directive indicating their desire not to be resuscitated. | | | However, since there was previously no uniform mechanism to enable EMS personnel to recognize DNR orders in out-of-hospital settings, EMS personnel were obligated to perform full resuscitative measures, subject only to specific medical direction from Medical Control, when encountering a patient unable to convey directions regarding medical treatment. |
|
http://www.mbemsc.org/provider/cc-dnr.html
(2394 words)
|
|
| |
| | BBC NEWS Health Pensioner's 'Do Not Resuscitate' tattoo |
| | Ms Polack, 85, from Lyndhurst in Hampshire, is so concerned about unwanted medical care that she has invested in a £25 tattoo across the front of her chest. | | | She feels it is the only way to ensure that doctors take account of her wishes, and that anybody opening her blouse to try to restart her heart will stop immediately. | | | Ms Polack said her years as a nurse had left her well aware of just how hard doctors will try to keep a patient alive. |
|
http://news.bbc.co.uk/1/hi/health/2819149.stm
(447 words)
|
|
| |
| | Arch Intern Med -- Abstract: Do-Not-Resuscitate Orders in Patients Hospitalized With Acute Myocardial Infarction: The ... |
| | From the Division of Cardiovascular Medicine, Department of Medicine (Drs Jackson, Yarzebski, Goldberg, and Gore and Ms Lessard), and the Department of Surgery (Dr Wheeler), University of Massachusetts Medical School, and Meyers Primary Care Institute (Drs Goldberg and Gurwitz), Worcester; and the Lown Cardiovascular Research Foundation, Brookline, Mass (Dr Bedell). | | | mellitus or stroke were more likely to have DNR orders. | | | objectives of this study were to describe use of DNR orders, |
|
http://archinte.ama-assn.org/cgi/content/abstract/164/7/776
(302 words)
|
|
| |
| | Do Not Resuscitate Guidelines |
| | If the patient has an intact DNR (do not resuscitate) bracelet in place, Medical Direction should be consulted prior to endotracheal intubation, defibrillation, cardioversion or external chest compressions. | | | The success of the pilot program may serve as a basis for the development of similar protocols for other DNR patient groups as well as other areas throughout Nebraska. | | | Finally, this policy was not intended to address the needs of all DNR (do not resuscitate) patients, nor does it deal with the issue of patients with living wills who may choose to refuse medical care. |
|
http://nncf.unl.edu/eldercare/info/dnr.html
(1099 words)
|
|
| |
| | SchoolNurse.com |
| | Parents may disagree, claiming that their child should be allowed to lead as normal a life as possible. | | | All are trained to save lives and are loath to let patients die. | | | Many parents have given serious thought to a DNR order for their severely medically fragile child and the law may be on their side. |
|
http://www.schoolnurse.com/med_info/dnro.html
(1169 words)
|
|
| |
| | DO-NOT-RESUSCITATE ORDERS |
| | He or she can explain what will happen if you decide to forego resuscitation and whether it is medically appropriate for you to do so. | | | This "do-not-resuscitate" order authorizes other health care providers to withhold measures to restart your heart or breathing. | | | If you have a serious or terminal illness, you may not want CPR (cardiopulmonary resuscitation) or other forms of resuscitation if they would only prolong your death and perhaps increase your pain. |
|
http://village.homewood.il.us/fire/DNR.htm
(299 words)
|
|
| |
| | Doctor's new tat: 'Do not resuscitate' - BN NSW - Breaking News 24/7 - NEWS.com.au |
| | AN emergency medicine specialist has given himself an 80th birthday present with a difference – he's had DO NOT RESUSCITATE tattooed across his chest. | | | Without a clear directive – such as his tattoo – Dr Cutter said he feared ending up paralysed and conscious, but unable to express his desires about resuscitation. | | | Albert Cutter has performed enough resuscitations to know what his wishes would be if the tables were turned and he was the patient. |
|
http://www.news.com.au/story/0,10117,12291630-29280,00.html
(492 words)
|
|
| |
| | Advance Directives and Do Not Resuscitate Orders -- familydoctor.org |
| | Being of sound mind means that you are still able to think rationally and communicate your wishes in a clear manner. | | | Make sure that your doctor and any family members who knew about your directives are also aware that you have changed them. | | | Patients who are not likely to benefit from CPR include people who have cancer that has spread, people whose kidneys don't work well, people who need a lot of help with daily activities, or people who have severe infections such as pneumonia that require hospitalization. |
|
http://familydoctor.org/handouts/003.html
(1024 words)
|
|
| |
| | Do not resuscitate - definition of Do not resuscitate in Encyclopedia |
| | This is done when a person with an inevitably fatal illness does not wish to prolong the suffering, and wishes to have a more natural death without painful or invasive medical procedures. | | | A DNR order's specific effect depends on the hospital in which the death occurs: neither cardiopulmonary resuscitation nor intubation will be performed, but treatment for infections or other treatable conditions, intravenous feeding and fluids, pain management and comfort care are generally continued. | | | The DNR order came into being in the U.S. in the 1960s when defibrillation allowed the reversal of cardiac arrest, but this may prolong the life of the patient for only a short time. |
|
http://encyclopedia.laborlawtalk.com/Do_not_resuscitate
(344 words)
|
|
| |
| | MedlinePlus Medical Encyclopedia: Advanced care directives |
| | Advanced care directives are specific instructions, prepared in advance, that are intended to direct a person's medical care if he or she becomes unable to do so in the future. | | | Advanced care directives allow patients to make their own decisions regarding the care they would prefer to receive if they develop a terminal illness or a life-threatening injury. | | | The order may be written by the person's doctor after discussing the issue beforehand with the person (if possible) or his or her proxy or family. |
|
http://www.nlm.nih.gov/medlineplus/ency/article/001908.htm
(954 words)
|
|
| |
| | Do-Not-Resuscitate Bracelets |
| | If patient changes his or her mind and wants to revoke their CCO-DNR order, they may do so by removing the bracelet or necklace, or by conveying their change of mind to the emergency medical services personnel, first responder personnel, or other health care providers. | | | Physician should discuss the situation with patient and explore the various options, including a living will and Comfort Care Only- Do Not Resuscitate (CCO-DNR) order. | | | If patient requests a CCO-DNR order, physician should fill out the form, which should be signed by the physician, the patient, and an adult witness who personally knows the patient. |
|
http://www.consumerlaw.com/bracelet.html
(553 words)
|
|
| |
| | Do Not Resuscitate Order (DNR) |
| | Even in the presence of a DNR order some interventions may be appropriate and necessary, such as drugs to calm arrhythmia and pain relief. | | | A DNR order does not imply that no treatment whatsoever should be given, but only that the patient does not want to be resuscitated. | | | Also known as a do-not-attempt-resuscitation (DNAR) order or "no code," a DNR order specifies what efforts should or should not be taken in order to revive a patient who has experienced cardiac or pulmonary arrest and what level of care should be provided in the case of an arrest. |
|
http://www.ascensionhealth.org/ethics/public/issues/dnr.asp
(159 words)
|
|
| |
| | Do Not Resuscitate (DNR) |
| | Usually, it means "no CPR," but in some circumstances it may involve the withholding of other medical interventions. | | | A DNR must be written by a physician (1) at the request of a competent patient, (2) or according to the patient's Advance Directives, (3) or at the direction—or with the consent—of the patient's surrogate decision maker. | | | A DNR Order generally means that no effort will be made to reestablish the heartbeat or breathing of a patient suffering cardiac or respiratory arrest. |
|
http://www.sclhsc.org/mission_vision_values/ethics/dnr.asp
(147 words)
|
|
| |
| | Texas Out-of-Hospital DNR Information |
| | f you are distributing blank OOH DNR forms to be filled out by patients, family and doctors, | | | After completing the Texas OOH DNR Order form, the patient may obtain, at the patient's expense, an optional means of identification. | | | In the instructions, there is some information required by law that must be made available to the patient, family, witnesses and doctors before the form is signed. |
|
http://www.tdh.state.tx.us/hcqs/ems/dnrhome.htm
(680 words)
|
|
| |
| | CATHOLIC ENCYCLOPEDIA: Character of Jesus Christ |
| | It is a beautiful way of doing the right thing, in the right way, at the right time, therefore opens all hearts to its possessor. | | | The foregoing texts do not admit of such an interpretation. | | | There may be solid ground for both views; but they do not exhaust the character of Jesus. |
|
http://www.newadvent.org/cathen/08382a.htm
(3051 words)
|
|
| |
| | Greek Philosophy [Internet Encyclopedia of Philosophy] |
| | Foiled in the attempt to resuscitate the old beliefs, its supporters then turned with fresh ardor to scientific work, and especially to the study of Plato and | | | After the Christian era Pythagoreanism, in a resuscitated form, again takes its place among the more important systems. | | | But the school if Iamblichus, a disciple of Porphyry, effected a change in the position of Neoplatonism, which now took up the cause of polytheism against Christianity, and adopted for this purpose every conceivable form of superstition, especially those of the East. |
|
http://www.iep.utm.edu/g/greekphi.htm
(3957 words)
|
|
| |
| | Encyclopedia Smithsonian: Star-Spangled Banner |
| | Doing so allowed them to see the flag’s true condition and learn more about its construction. | | | By the time it arrived at the Smithsonian in 1907, the Star-Spangled Banner was already in a fragile and tattered condition. | | | Working with a team of ten needlewomen, Fowler first removed a canvas backing that had been attached to the flag in 1873, when it was displayed and photographed for the first time at the Boston Navy Yard by Admiral George Preble. |
|
http://www.si.edu/resource/faq/nmah/starflag.htm
(2914 words)
|
|
| |
| | Do Not Resuscitate |
| | And the girls and guys who are waiting here to fly all have tattoos on their chests | | | And as the pent-up feeling in my heart turns electric, you shrug and smile and say, “Do not resuscitate” | | | So I hand over another twenty – let’s do shots to blow off steam |
|
http://www.bridgeandtunnelclub.com/music/nextbest/dnr.htm
(151 words)
|
|
| |
| | Tampabay: Wristbands called patient safety risk |
| | Purple means the patient is at risk of falling down; red means the patient has allergies; and white is an identification bracelet. | | | The Lance Armstrong LiveStrong wristband, below, is similar to a wristband some hospitals use to identify patients who do not wish to be resuscitated, left. | | | Tampa General Hospital uses purple, not yellow, to identify people who don't want to be resuscitated. |
|
http://www.sptimes.com/2004/12/10/Tampabay/Wristbands_called_pat.shtml
(577 words)
|
|
| |
| | Do Not Resuscitate my Mother |
| | states that the mother may not be frightened by, or may even welcome, discussion of her illness and the DNR order. | | | Her mother has chronic congestive heart failure and her health has deteriorated over the past 5 years. | | | Your agenda is that you want a Do Not Resuscitate (DNR) order put on your mother's chart and you don't want the doctor to discuss this with your mother. |
|
http://wings.buffalo.edu/bioethics/dnr.html
(1000 words)
|
|
| |
| | Guardian Unlimited Special reports Parents ask court to overturn order not to resuscitate disabled daughter |
| | Everything they said she would never do she has done. | | | Earlier, the judge heard that the trust wanted to avoid a situation where the focus in the final hours of Charlotte's life was not on providing her with the best care but on making an application to the courts. | | | The parents of a profoundly disabled baby girl, who a judge ruled last year should not be resuscitated if she fell critically ill, returned to the high court yesterday in an effort to overturn their daughter's "non ventilation" order. |
|
http://www.guardian.co.uk/medicine/story/0,11381,1592099,00.html
(701 words)
|
|
| |
| | Moviefone: The Sopranos: Do Not Resuscitate Movie |
| | MSN MOVIES, 4, The Sopranos: Do Not Resuscitate... | | | MSN - Movies: The Sopranos: Do Not Resuscitate | | | The Sopranos: Do Not Resuscitate The Sopranos: Mr. |
|
http://movies.aol.com/movie/main.adp?mid=1200842
(280 words)
|
|
| |
| | DO NOT RESUSCITATE ORDER |
| | If a "Do Not Resuscitate" (DNR) order has been supplied which does not contain all of the listed elements, the ambulance crew will not be able to honor in the event of an arrest. |
|
http://www.lakevillarescue.org/do_not_resuscitate_order.htm
(78 words)
|
|
| |
| | ESPN.com - OLY - Some hospitals cover LiveStrong bracelets |
| | The yellow bands are the same color as the "do not resuscitate" bands a hospital chain puts on patients who don't want to be saved if their heart stops. | | | TAMPA, Fla. -- Hospitals are removing or taping over patients' LiveStrong bracelets for fear of a fatal mix-up. | | | No mix-ups have been reported, but BayCare Health Systems officials don't want to take any chances. |
|
http://sports.espn.go.com/oly/news/story?id=1943588
(276 words)
|
|
| |
| | Do Not Resuscitate Order Sample Form |
| | I request that in the event my heart and breathing should stop, no person shall attempt to resuscitate me. | | | This order is effective until it is revoked by me. |
|
http://www.med.umich.edu/1libr/aha/umlegal03.htm
(296 words)
|
|
| |
| | Do Not Resuscitate/Do Not Intubate (DNR/DNI) Orders |
| | The District also recognizes that District staff may be confronted with requests to withhold emergency care of a student in the event of a life threatening situation at school or school activities or be presented with Do Not Resuscitate/Do Not Intubate (DNR/DNI) orders. | | | The purpose of this policy is to provide guidance to District staff and parents or guardians in these situations. | | | Do Not Resuscitate/Do Not Intubate (DNR/DNI) Orders Policy |
|
http://www.pineisland.k12.mn.us/district/dnrpol.htm
(302 words)
|
|
| |
| | Do Not Resuscitate |
| | As stated on the Home Page, DNR is doing a recruitment drive at this time. | | | This is where you can post questions and get answers on recruitment issues. | | | This forum is for posting likes and dislikes about the Web site, Game Server, or you can rant and rave about whatever's on your mind |
|
http://www.cod-dnr.com/modules.php?name=Forums
(434 words)
|
|
| |
| | Michigan's Do-Not-Resuscitate Procedure Act |
| | A specific bracelet may be worn to signal that an order has been signed. | | | When the order is present or the bracelet is worn, and emergency responder cannot start resuscitation. |
|
http://www.michigan.gov/mdch/0,1607,7-132-2940_3183_4895-19875--,00.html
(281 words)
|
|
|
