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Related Concept Videos

Language01:16

Language

Language is a unique communication system that uses words and systematic rules to organize and transmit information. Unlike other forms of communication, which may involve postures, movements, odors, or vocalizations, language relies on symbols and grammar. This makes human communication distinct from that of other species, who also communicate but do not use language in the same way humans do.
Corballis and Suddendorf (2007) and Tomasello and Rakoczy (2003) highlight the role of language in...
Nucleic Acids and Nucleotides01:20

Nucleic Acids and Nucleotides

Nucleic acids are the most important macromolecules for the continuity of life. They carry the cell's genetic blueprint and have instructions for its functioning. The two main types of nucleic acids are deoxyribonucleic acid (DNA) and ribonucleic acid (RNA).
Deoxyribonucleic Acid (DNA)
DNA is the genetic material in all living organisms, ranging from single-celled bacteria to multicellular mammals. It is in the nucleus of eukaryotes and the organelles such as chloroplasts and mitochondria. In...
Nucleic acids02:43

Nucleic acids

Nucleic acids are the most important macromolecules for the continuity of life. They carry the cell's genetic blueprint and carry instructions for its functioning.
DNA and RNA
The two main types of nucleic acids are deoxyribonucleic acid (DNA) and ribonucleic acid (RNA). DNA is the genetic material in all living organisms, ranging from single-celled bacteria to multicellular mammals. It is in the nucleus of eukaryotes and in the organelles, chloroplasts, and mitochondria. In prokaryotes, the...
Nucleic Acids02:43

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Nucleic acids are the most important macromolecules for the continuity of life. They carry the cell's genetic blueprint and carry instructions for its functioning.
DNA and RNA
The two main types of nucleic acids are deoxyribonucleic acid (DNA) and ribonucleic acid (RNA). DNA is the genetic material in all living organisms, ranging from single-celled bacteria to multicellular mammals. It is in the nucleus of eukaryotes and in the organelles, chloroplasts, and mitochondria. In prokaryotes, the...
Nucleic Acids02:43

Nucleic Acids

Nucleic acids are the most important macromolecules for the continuity of life. They carry the cell's genetic blueprint and carry instructions for its functioning.
DNA and RNA
The two main types of nucleic acids are deoxyribonucleic acid (DNA) and ribonucleic acid (RNA). DNA is the genetic material in all living organisms, ranging from single-celled bacteria to multicellular mammals. It is in the nucleus of eukaryotes and in the organelles, chloroplasts, and mitochondria. In prokaryotes, the...
Nucleic Acids02:43

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Nucleic acids are the most important macromolecules for the continuity of life. They carry the cell's genetic blueprint and carry instructions for its functioning.
DNA and RNA
The two main types of nucleic acids are deoxyribonucleic acid (DNA) and ribonucleic acid (RNA). DNA is the genetic material in all living organisms, ranging from single-celled bacteria to multicellular mammals. It is in the nucleus of eukaryotes and in the organelles, chloroplasts, and mitochondria. In prokaryotes, the...

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DNR, DNAR, or AND? Is Language Important?

Joseph L Breault1

  • 1Chair, Institutional Review Boards, Ochsner Clinic Foundation, New Orleans, LA.

Ochsner Journal
|December 23, 2011
PubMed
Summary

The American Heart Association recommends changing "do not resuscitate" (DNR) to "do not attempt resuscitation" (DNAR) or "allow natural death" (AND). These terms improve clarity and emotional support regarding end-of-life care decisions.

Keywords:
AND, allow natural deathCPR, cardiopulmonary resuscitationDNAR, do not attempt resuscitationDNR, do not resuscitatecode status

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Area of Science:

  • Medical Ethics
  • Patient Communication
  • Healthcare Terminology

Background:

  • Traditional "do not resuscitate" (DNR) terminology may imply resuscitation is likely.
  • This can create emotional challenges during end-of-life discussions.
  • Hospitals often continue to use outdated DNR terminology.

Purpose of the Study:

  • To evaluate the shift in terminology from DNR to DNAR by the American Heart Association.
  • To explore the benefits of DNAR and Allow Natural Death (AND) terminology.
  • To advocate for the adoption of clearer end-of-life care language in medical settings.

Main Methods:

  • Review of American Heart Association's 2005 terminology change.
  • Analysis of the implications of DNR versus DNAR and AND.
  • Discussion of current hospital practices regarding resuscitation orders.

Main Results:

  • DNAR terminology reduces the implication of resuscitation success.
  • DNAR fosters a more supportive environment for discussing end-of-life care.
  • AND offers even greater clarity in specific contexts.

Conclusions:

  • Medical staff should consider transitioning from DNR to DNAR.
  • Adopting AND terminology can further enhance clarity where appropriate.
  • The choice of language significantly impacts patient understanding and emotional well-being in end-of-life care.