Do Not Resuscitate (DNR) Orders among Terminally Ill Patients: An Argumentative Essay

摘要

Do Not Resuscitate orders among terminally ill patients starts to be one of the most common argumentative issues within health care institutions agreed this type of orders. In the last quarter of twentieth century Do Not Resuscitate (DNR) statement starts to emerge in different health care centers. Cardiopulmonary Resuscitation (CPR) that attempt to restart patient’s heartbeats or natural breathing is the base line when dealing with any patient regardless any circumstances. Reviewing much of articles, research papers, guidelines and different policies regarding the DNR statement actually brought us into the stake. Ethical as well as legal Proponent and opponent opinions were confront for this debatable issue in order to argue the supportive and giving up points of views. DNR orders should be discussed and explained seriously with the patient (his or her surrogates) and their families to reach the suitable and preferable situation as well as allowing natural death process. In addition, the concept of futility regarding to health status possess high contribution when deciding the patients as DNR coded. However, integrating DNR orders within health care institutions eases in a way or in another the burden of activating CPR, while in advance; the end result is already known and unsatisfied based on clinical picture for the patient known as terminally ill. It is in simple words the proportionality (burden: benefit ratio). In the end, ethical and legal aspects plays major role in regarding DNR, and indeed affect the perception of DNR and discussing them clearly at some point will definitely alleviate possible consequences.