Finding the right words: using the terms allow natural death (AND) and do not resuscitate (DNR) in pediatric palliative care.

Finding the right words: using the terms allow natural death (AND) and do not resuscitate (DNR) in pediatric palliative care.

Jones BL; Parker-Raley J; Higgerson RA; Christie LA; Legett S; Greathouse J

Journal For Healthcare Quality

2008

Humans; Intensive Care Units; Terminal Care; Health Care Surveys; Education; Medical; Pediatric; DNAR; Resuscitation Orders; Palliative Care; Communication; Hospitals; Terminology as Topic

When children are dying in a hospital setting, healthcare providers need to help families make important end-of-life care decisions. Most providers use the term do not resuscitate (DNR) when suggesting a course of action that involves not using extraordinary lifesaving measures. Some healthcare providers use the term allow natural death (AND) to discuss this same approach. This study investigated pediatric healthcare providers' beliefs about using AND as opposed to DNR. Results revealed that providers believe the term AND is somewhat ambiguous but may be more family centered.

2008

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