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Sunday, October 11, 2015

Good Practice (A parody of Green Day's " Good Riddance")

A catchy video to remind us that do not resuscitate (DNR) does not mean do not treat. A patient with a DNR status gets the same medical attention, assertiveness and diligence as a patient without a DNR status. If there is an infection, treat it. If there is a broken bone, fix it. The applicability of a DNR status is only in the circumstance where all usual and customary treatments fail and life-support interventions are not desired because the underlying disease state cannot be cured or further improved to the benefit ones quality of life. Short of that narrow spectrum, patients with a DNR status have no limits to their medical care. The term used to indicate a desire to forego customary medical interventions in order to allow a comfortable, dignified and peaceful death is termed Allow Natural Death (AND or DNR-AND).
from Rajesh Harrykissoon, MD

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