AND vs. DNR

I know there has been a lot of discussions over the last few years concerning the term “Allow Natural Death (AND)” along with, or in place of, the term “Do Not Resuscitate (DNR).”

Many have criticized the term DNR because it sounds as if something important is being withheld. The term AND focuses on what is being done, not on what is being withheld/avoided.

I think the use of both terms has value as long as the health care provider is able to effectively communicate with the patient and/or family.

“Researchers have reliable data concerning the success rates of Cardiopulmonary Resuscitation (CPR), without the use of automatic defibrillators, in a variety of settings:

·       2% to 30% effectiveness when administered outside of the hospital

·       6% to 15% for hospitalized patients

·       Less than 5% for elderly victims with multiple medical problems”

Unfortunately, it’s still estimated that only about 20% of the population has advance directives.

Please look at this site when possible:

http://allowingnaturaldeath.org/2010/08/the-origins-of-allow-natural-death/