Differentiating DNI from DNR: combating code status conflation

J Hosp Med. 2014 Oct;9(10):669-70. doi: 10.1002/jhm.2234. Epub 2014 Jun 30.

Abstract

Goals of care discussions, including those focused on code status, are meant to foster autonomous decision making. Unfortunately, these discussions often conflate decisions regarding the use of cardiopulmonary resuscitation for cardiac arrest and mechanical ventilation for prearrest respiratory failure. They also exclude discussions of outcomes, particularly those associated with prearrest respiratory failure. In doing so, they may fail in their intention of extending patient autonomy. Journal of Hospital Medicine 2014;9:669-670. © 2014 Society of Hospital Medicine.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Advance Directives*
  • Cardiopulmonary Resuscitation / psychology*
  • Decision Making*
  • Heart Arrest / therapy*
  • Humans
  • Intubation, Intratracheal / psychology*
  • Respiration, Artificial