What’s in a Do-Not-Resuscitate Order? Understanding the Impact on Pre-arrest Life Support and Factors Influencing Misconceptions
Discussion of code status in the event of cardiopulmonary arrest, such as FULL CODE or Do-Not-Resuscitate (DNR) status, has become the standard of care when a patient is admitted to the hospital. Some patients elect to avoid CPR, but have preferences for life support they are willing to receive prior to a cardiopulmonary arrest, which can be documented in an out-of-hospital Provider Orders for Life-Sustaining Treatments (POLST) form.1 The American Medical Association makes a clear statement that code status directs care at the time of cardiopulmonary arrest, and it should not impact life support delivered to a patient who is clinically deteriorating (still has a pulse and is breathing) unless otherwise directed by the patient.2
While studies have confirmed this association between DNR order status with care a provider would deliver when the patient still has a pulse and is breathing,3, 4few studies have examined how a provider’s discipline, training background, and years...
The authors thank Dr. Alan Garber and Dr. Jeffrey Munson for substantial help in creating this survey.
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Conflict of Interest
The authors declare that they do not have a conflict of interest.
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