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KMID : 1128620100140010001
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Cung-Ang Journal of Nursing
2010 Volume.14 No. 1 p.1 ~ p.8
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Analysis of decision-making situation related to DNR(Do-Not-Resuscitate)
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Lee Mi-Hee
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Abstract
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Purpose: This purpose of this study was to examine the characteristics of patients who had DNR and to examine
the medical records related to DNR.
Method: Data were collected by EMR review for all patients who had DNR from January 2007 to September 2007 in one hospital. A total of 145 patients were included.
Result: The DNR request had been made most of the time when the patients’ vital signs or metal status were changed. More than half of the patients were in a comatose state when DNR consent was made and only 18.6% was alert.
The persons involved with DNR decision were patients’ child, spouse, daughter or son-in-law, and brother or sister
and the other family members. The average time interval from DNR consent signed to death was 4.88 days. DNR consent was obtained by written (53.8%) or verbal and formats used in consent was in various styles.
Conclusion: Opportunities to discuss DNR should be offered in advance to all patients while awake. DNR orders
must be written and consent forms should be standardized.
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KEYWORD
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Do-Not-Resuscitate Orders, Patients, Informed Consent
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