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Does a "do not resuscitate" mean no breathing apparatus?
Posted on 3/15/20 at 2:56 pm
Posted on 3/15/20 at 2:56 pm
In the context of CV, if a person in hospice has a DNR, and they get pneumonia (from CV in this scenario) I assume they still get medication and iv etc, but when it comes to breathing tubes etc, Im assuming that's off the table with a DNR, correct?
13
Posted on 3/15/20 at 2:58 pm to deeprig9
It’s called an advanced directive. Someone can request that no life saving treatment can be administered.
Edit: if someone doesn’t have one it will go to next of kin to decide. I would guess they would assume life saving treatment if no next of kin.
Edit: if someone doesn’t have one it will go to next of kin to decide. I would guess they would assume life saving treatment if no next of kin.
This post was edited on 3/15/20 at 3:00 pm
Posted on 3/15/20 at 2:58 pm to deeprig9
quote:
In the context of CV, if a person in hospice has a DNR, and they get pneumonia (from CV in this scenario) I assume they still get medication and iv etc, but when it comes to breathing tubes etc, Im assuming that's off the table with a DNR, correct?
Has their heart stopped? If not, I think you know the answer to your question.
Posted on 3/15/20 at 3:17 pm to O
I don't know the answer, im asking, please don't be a dick.
Posted on 3/15/20 at 3:22 pm to deeprig9
quote:
Does a "do not resuscitate" mean no breathing apparatus?
My understanding is that it does. However, there are different types of heroic measures that can be allowed/denied by someone's advanced directive. CPR, Vent, Dialysis, BP meds, etc. You can choose which you find acceptable or not, but I think Louisiana's generic form is all or none.
eta: Louisiana blank living will form
This post was edited on 3/15/20 at 3:25 pm
Posted on 3/15/20 at 3:22 pm to deeprig9
Just went through this with my dad in December. Once they took him off the ventilator, it was pain meds for comfort only for a couple of days. He hung on, so they gave him a little fluids, but once he started going that was it. No attempts to bring him back.
Posted on 3/15/20 at 3:24 pm to ruger35
I had to take care of my critically ill uncle when I was 24, he had a DNR. It means just that. NO extraordinary measures must be taken.
Posted on 3/15/20 at 3:25 pm to deeprig9
The hospices that work with our residents at the nursing home typically have DNR order with comfort measures that would include no Iv, no labs, no vent, no regular meds like blood pressure, etc. but have orders for pain meds if needed.
Posted on 3/15/20 at 3:27 pm to deeprig9
advanced directives are all different. People can choose what they do and do not want. A DNR is not as in-depth but covers intubation, CPR, and use of vasoactive drugs for the most part.
Posted on 3/15/20 at 3:31 pm to deeprig9
Wishes need to be clear. We use different terms to describe those wishes including DNR, DNI (do not intubate), comfort care, no escalation of care, etc
Posted on 3/15/20 at 3:33 pm to deeprig9
What's fricked up is a patient can have a portable DNR and everything be perfectly clear and then the family decide "no, do everything you can do to save grandma" and then they suffer for weeks until it finally sinks in to the family that there's no coming back this time.
Posted on 3/15/20 at 3:35 pm to deeprig9
quote:
I don't know the answer, im asking, please don't be a dick.
The correct answer is no.
Posted on 3/15/20 at 3:35 pm to deeprig9
“Advanced Directives” is an umbrella term.
It can include a Living Will where a person expresses their desire for the measures they want implemented or not implemented in an end of life situation. It is not legally binding. Caregivers can easily override it.
A DNR is binding and signed by a physician. A patient with a DNR will not receive any heroic measures in a facility or by EMS if they know they are DNR.
It can include a Living Will where a person expresses their desire for the measures they want implemented or not implemented in an end of life situation. It is not legally binding. Caregivers can easily override it.
A DNR is binding and signed by a physician. A patient with a DNR will not receive any heroic measures in a facility or by EMS if they know they are DNR.
This post was edited on 3/15/20 at 3:40 pm
Posted on 3/15/20 at 3:46 pm to deeprig9
When my grandma was on hospice we had oxygen and other things to help keep her from suffering. DNR is more about if they stop breathing all together and or their heart stops. It means no CPR or AED. Just let the person go.
Posted on 3/15/20 at 4:15 pm to Bmath
As others have said, these fall under the umbrella if advanced directives.
They can vary in what they want. On the one hand you have do absolutely everything. On the opposite end of the spectrum you have only comfort Care.
You in reality can choose anything between the two extremes.
They can vary in what they want. On the one hand you have do absolutely everything. On the opposite end of the spectrum you have only comfort Care.
You in reality can choose anything between the two extremes.
Posted on 3/15/20 at 4:17 pm to thetempleowl
The silliest option is meds only. It's literally we're going to push drugs in your veins that aren't going to be circulated because you don't have a pulse. Total waste of time and money.
Posted on 3/15/20 at 4:23 pm to deeprig9
My younger brother was diagnosed terminal with cancer. He had a DNR and he named me as the relative to carry out his wishes. When the time came he was on meds but there were no machines to keep him alive.
Posted on 3/15/20 at 4:24 pm to deeprig9
quote:
but when it comes to breathing tubes etc, Im assuming that's off the table with a DNR, correct?
Not at all. A close relative had a stroke. The hospital knew they had a DNR and put them on a breathing tube without asking anyone in advance. It was 8 days later before life support (the breathing tube mostly) was removed by decision of the family.
Posted on 3/15/20 at 4:31 pm to deeprig9
no
resusitation has re at beginning.
means again.
the intubation is only good if you still living and breathing.
resusitation has re at beginning.
means again.
the intubation is only good if you still living and breathing.
Posted on 3/15/20 at 4:32 pm to deeprig9
If their heart or breathing stops...it stops.DNR.
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