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DNR does not mean no care.

Lorraine Fields1

  • 1Summa Health System, Akron, OH, USA. fieldsl@summa-health.org

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|October 31, 2007
PubMed
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Effective end-of-life care, including palliative and hospice planning, is crucial, especially in neurocritical care. Implementing clear protocols ensures a dignified death, contrasting with inadequate care for do-not-resuscitate patients.

Area of Science:

  • Neurology
  • Critical Care Nursing
  • Palliative Medicine

Background:

  • End-of-life care presents unique challenges within neurological intensive care units.
  • Hospice and palliative care planning are essential components of respectful end-of-life management.
  • The absence of established protocols can lead to suboptimal patient outcomes and family distress.

Observation:

  • A case study highlighted a neurosurgical nurse's initiative to improve care for dying patients.
  • The nurse addressed deficits in palliative care for a dying patient.
  • This intervention influenced the hospital's approach to managing do-not-resuscitate (DNR) patients.

Findings:

  • Opioid and sedative administration significantly impacts the quality of death, affecting patient comfort and family experience.

Related Experiment Videos

  • Do-not-resuscitate status necessitates a distinct care approach, not a cessation of care.
  • The nurse's determination led to a shift in hospital policy regarding end-of-life care protocols.

    • Implications:

    • Standardized end-of-life care protocols are vital for all hospitals, particularly in critical care settings.
    • Enhanced education on palliative and hospice care can improve patient dignity and family support during the dying process.
    • The case demonstrates the impact of dedicated nursing advocacy in transforming institutional practices for end-of-life care.