Having a Do Not Resuscitate order (DNR) in place is certainly not a requirement to receive hospice care. While many patients on hospice elect to have a DNR in place, it is not a requirement for the hospice patient. In fact, hospices are not allowed to discriminate based on any advance directive the patient has, or has not, signed. Once a DNR has been signed, it can always be discontinued if the patient, or medical proxy, feel it is no longer the right option.
What Is A DNR?
When a patient signs the DNR it means that he or she does not wish to be resuscitated should breathing or heartbeats stop. When a patient, who does not have a DNR, stops breathing the medical team will perform emergency procedures that may include calling 911, resuscitation attempts by the EMTs, ambulance rides, hospitalization and life support services. perform emergency procedures.
It’s important to note that DNR’s deal strictly with CPR. A standard DNR will not give instructions for things like pain management, nutrition, or other facets of treatment. CPR typically refers to: chest compressions and mouth-to-mouth resuscitation, medical ventilation, medication, cardioversion, and intubation.
Why Do Patients Sign DNRs?
Choosing to sign a DNR is a decision that needs to be discussed with friends, family, and a medical professional. The reasons for signing a DNR are wide ranging, but the primary reason tends to be that the patient has a terminal diagnosis and they, or their medical proxy, feel that CPR would prolong the inevitable or do more harm than good. At RoseRock, our team of hospice professionals is here to help you make informed decisions regarding your healthcare, including DNRs.