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re: Do Not Resuscitate - How does this work?

Posted on 6/1/19 at 8:59 pm to
Posted by reverendotis
the jawbone of an arse
Member since Nov 2007
4988 posts
Posted on 6/1/19 at 8:59 pm to
quote:

person falls down and breaks a bone


Are you asking if a DNR applies to getting a cast on your arm?

It means “do not intervene with life prolonging treatment in an end-of-life situation.” It does not mean “do not render care and make the person suffer through mundane injuries and illnesses.”

“Mr Otis, I wish I could help you, I know it is just an ingrown toenail but you signed that DNR...”
Posted by dbbuilder79
Overton NV
Member since Dec 2010
4660 posts
Posted on 6/1/19 at 9:05 pm to
Are you looking for a golden parachute?

Is she Emmylou Harris status?
Posted by windshieldman
Member since Nov 2012
12818 posts
Posted on 6/1/19 at 9:07 pm to
Like others have said, if you are coded you won’t be resuscitated. If ems shows up at your house of a loved one who has a dnr there needs to be signed proof on hand with pt signature and doctor signature. I’ve been at houses before where family, hell even at nursing homes where nurses said pt has a dnr, but they didn’t have the paperwork. Well we gonna work them
Posted by soccerfüt
Location: A Series of Tubes
Member since May 2013
76146 posts
Posted on 6/1/19 at 9:11 pm to
DO

NOT

REE-SESS-EWW-TATE!


Posted by St Augustine
The Pauper of the Surf
Member since Mar 2006
72437 posts
Posted on 6/1/19 at 9:40 pm to
Seems like it’s been covered. I will say I’ve seen some patients in the hospital who were DNR accidentally get resuscitated. Once it was an absolute shite show. The other time the patient changed their status to full code.
Posted by Rougaroux
Madisonville
Member since Feb 2017
723 posts
Posted on 6/1/19 at 10:18 pm to
If you call 911 on your DNR family member, they will treat/ resuscitate and ask questions later. If you go to the hospital, a DNR form will have to be signed. Too many times have I seen a family call 911 on a pt that did not want to be resuscitated. The pt winds up in the ICU and later the family states they were a DNR. This status is not for life and can be changed at any time by next of kin if pt is incapacitated. fricked up, but thats the way it works
Posted by Goldrush25
San Diego, CA
Member since Oct 2012
33964 posts
Posted on 6/1/19 at 10:26 pm to
quote:

I’ve been at houses before where family, hell even at nursing homes where nurses said pt has a dnr, but they didn’t have the paperwork. Well we gonna work them



Absolutely. If they've gone through the trouble of having a DNR order established then they should have it on hand in the home or at the hospital.

Not something you can just take their word for.
This post was edited on 6/1/19 at 10:28 pm
Posted by windshieldman
Member since Nov 2012
12818 posts
Posted on 6/1/19 at 10:26 pm to
quote:

Too many times have I seen a family call 911 on a pt that did not want to be resuscitated.


If there is a dnr on scene ems is not supposed to work it. We never do if it’s on scene
Posted by shutterspeed
MS Gulf Coast
Member since May 2007
73729 posts
Posted on 6/1/19 at 10:31 pm to
quote:

Do Not Resuscitate - How does this work?


If you get a bobo, then the hospital won't put monkey blood on it.
Posted by WaydownSouth
Stratton Oakmont
Member since Nov 2018
11335 posts
Posted on 6/1/19 at 10:32 pm to
DNR is for the hospital baw. Mostly old people or people with low quality of life that get evaluated by a palliative care doc and are at like 10 or 20% on the palliative performance scale will be on DNR. Essentially family agrees that keeping the person alive is making them suffer more than them passing
Posted by marshallmadmen
Member since Feb 2010
199 posts
Posted on 6/1/19 at 10:37 pm to
All I saw was Georgia fan asking for DNR. I'm sure everyone assumed this is about the baseball teams potential matchup against lsu
Posted by pensacola
pensacola
Member since Sep 2005
4832 posts
Posted on 6/1/19 at 10:51 pm to
DNR can be meaningless. No one gets sued for shocking the snot out of granny with DNR tattooed on her forehead. You may get sued for failing to do so when the black sheep from Cali shows up after the fact and wants answers for not resuscitating.
Posted by DeusVultMachina
Member since Jul 2017
4245 posts
Posted on 6/1/19 at 10:52 pm to
quote:

If you call 911 on your DNR family member, they will treat/ resuscitate and ask questions later. If you go to the hospital, a DNR form will have to be signed. Too many times have I seen a family call 911 on a pt that did not want to be resuscitated. The pt winds up in the ICU and later the family states they were a DNR. This status is not for life and can be changed at any time by next of kin if pt is incapacitated. fricked up, but thats the way it works




Interesting. This is actually criminal practice if they have documented DNR... BUT samaritan laws generally cover bystanders and first responders regardless of circumstances. However, I am hospital based (so do not have that luxury) and therefore am also only familiar with what I posted above. Thanks for the insight.
Posted by DeusVultMachina
Member since Jul 2017
4245 posts
Posted on 6/1/19 at 10:53 pm to
quote:

DNR can be meaningless. No one gets sued for shocking the snot out of granny with DNR 


This is not true at all.
Posted by Cheese Grits
Wherever I lay my hat is my home
Member since Apr 2012
63047 posts
Posted on 6/1/19 at 10:58 pm to
Who is the DNR for?

DNR's are usually for the elderly as CPR can do more damage than good on old brittle bones and organs.

If you start going to the ER 3 times a week it gets a bit much.

Interesting is on the young with addiction issues and OD's. I guess a person could request a DNR and save the rest of us a whole lot of coin on excessive ER visits.
Posted by chuckie
Member since Jun 2005
1038 posts
Posted on 6/1/19 at 11:07 pm to
If the patient is not able to make decisions then it falls to spouse,parents if underage, or adult children. I have seen situations where the patient signs a DNR that the family revoked.
As far as treating just to run up the bill, it’s generally not true but medical providers are expected to provide the expected level of care and ordering labs and tests is part of that. Especially since we now live in such a letigious world. Sometimes it gets out of hand.
The worst thing in is coding repeatedly and keeping alive a patient who has no chance at any quality of life.
We only do what the patient and family want to do.
So (on the soapbox) talk to your family about what you want in that event. Talk about in the clear headed light of day when there is nothing wrong with you so that everyone knows what they want-to do.
You never know what might happen or when.
In the middle of the crisis is no time to put that decision on someone who is not prepared.
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