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CAPC Palliative Care Discussion Forum
Palliative Care and the ICU

In Reply To: DNRs in ICU
Next Reply: Re:Re:DNRs in ICU
Previous Message: Re:DNRs in ICU

Post Re:DNRs in ICU
Author: ChesapeakeMD
Date: Feb 24, 2009 11:38 am
Like the other answers, we allow DNR patients to stay in IUC and will transfer these same patients INTO the ICU if symptom managment warrants or if it is to treat a seperate issue from the one that the patient is terminal with. We often get resistance from care managers and nursing but remind them that DNR is not Do Nothing Really!
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Re:Re:DNRs in ICU (by Deb on 02/24/2009)
DNR does not mean do not treat. We frequently have DNR pts in ICU with aggressive medical management, depending on the pt/family wishes. Unfortunately that attitude that a DNR pt should not be in ICU is what makes some pts resistent to DNR status because they feel they will not get the treatment they want. I have to do a lot of education with staff and pt/families around this issue. That is also true of the advance directive "choice not to prolong life".

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