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Ethical DNR Presentation

University of Mary Hardin Baylor
by

Amanda Johns

on 25 March 2015

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Transcript of Ethical DNR Presentation

Do-Not-Resuscitate Order
Amanda Johns
Julie Otis
Macy Yglecias
Melissa Galdamez


Research Article #2
Saving Life or Respecting Autonomy: The Ethical Dilemma of DNR Orders in Patients Who Attempt Suicide
This article discusses the ethical issues of how DNR orders are perceived when a patient has attempted suicide.
It goes in depth with case studies about patients suffering from depression and anxiety that have attempted suicide.
Once the paramedics are called they may want to treat the patient but legally they must respect the patient’s wishes of the DNR order.
The article concludes stating that the solution is to respect the DNR order because questioning it's validity loses valuable time the patient needs to receive life sustaining treatment if necessary.
No matter how the outside source feel about the situation, a DNR order must always be respected.
Research Article #1
Origin and Maintenance and future of Do not resuscitate
In this research article the author talks about how DNR orders were originated and how it benefited a lot of people who understood the facts.
The author states how in the medical and science world a DNR works well with most organs except for the brain. The brain is the main issue that everyone is having trouble with because even if the brain can survive, the patient may not be coherent enough to make formal decisions relating to their medical treatment.
Medical providers believe some people are not choosing DNR orders because it buys the patient time to make decisions regarding their health care.
DNR in this time helps the patient look at life in the future and not worry about medical treatments.


Related Concepts
Allows natural death
End of suffering
Decrease in medical expenses
CPR is not always beneficial
Patient autonomy
Pros
Health Policy
Professionalism/Clinical Judgement
Autonomy
Economics
What does DNR mean?
do-not-resuscitate/ allow natural death (AND)
This is a decision you make near the end of your life or when you have a terminal illness that cannot be cured.
Medical order written by a doctor after speaking with the patient, a family member, or health care proxy (legal document where a patient can appoint someone to make decisions for them in the event they are unable to do so themselves.)
Informs all health care providers not to perform CPR if a patient stops breathing, or if their heart stops beating, therefore allowing natural death to occur.
Does not include comfort care!

Saving a Life or Respecting Autonomy?
THE DILEMMA:
Patient preferences regarding DNR end of life care are often disregarded by healthcare professionals despite state policies, not with the intention to be futile but primarily out of fear of legal dispute or disapproval.
The concept of autonomy regarding DNR order was legally enforced originally by the Self Determination Act of 1991, which required healthcare professionals to respect the patients right to decide their end-of-life care.
References
Whidbey General Hospital and Clinics. Do not resuscitate (dnr)/do not attempt resuscitation (dnr) policy. Retrieved March 24, 2015, from https:// www.whidbeygen.org
C Geppert. Saving Life or Respecting Autonomy: The Ethical Dilemma of DNR Orders in Patients Who Attempt Suicide. The Internet Journal of Law, Healthcare and Ethics. 2010 Volume 7 Number 1
Geppert, C. (2013, January 1). ISPUB.com. Retrieved March 24, 2015, from https://ispub.com/IJLHE/7/1/11437
Weir, W. (2011, April 19). Patients With 'Do Not Resuscitate' Orders More Likely To Die Following Surgery. Retrieved March 23, 2015, from http://articles.courant.com/2011-04-19/health/hc-weir-do-not-resuscitate-0419-20110418_1_dnr-orders-colon-surgery-patients
Advance Care Planning Online. (2009, January 1). Retrieved March 22, 2015, from http://apps.health.qld.gov.au/acp/Public_Section/Resuscitation_Planning/resuscitationPlanning2.aspx


Cons
Death
Room for error
DNR orders may place patients at greater risk?
Full transcript