What is a good death? Issues to examine in critical care

The decision to limit care for critically ill intensive care patients is not uncommon, and most deaths in the intensive care unit are now preceded by do not resuscitate (DNR) orders, which are regarded by some as a way to make death more humane and respect patient autonomy. When a patient receives a poor diagnosis the family needs to discuss the medical care and respect the patient's wishes. Many relatives hesitate to discuss these issues, because they wish to avoid discussing the idea of death or any serious change to the patient's condition. This article aims to address DNR orders and discuss the mechanisms available to achieve a good death for patients and their relatives, instead of enduring a distressing and undignified end.