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Allowing natural death in end-of-life decision-making
Jodi Erickson1, Mary Ann Cantrell2, Meredith MacKenzie Greenle2
1University of Washington - Tacoma School of Nursing & Healthcare Leadership.
Abstract:
There are currently 2 primary terms used in end-of-life (EOL) discussions when people do not desire life-saving measures: Do Not Resuscitate (DNR) and Allow Natural Death (AND). As a newer term, less is known about how AND influences EOL decision-making. This article reviews the extant empirical literature regarding the use of AND in EOL decision-making. ProQuest PsycINFO, CINAHL, and PubMed were searched through March 2024 for empirical studies on AND in the English language. Eight publications dated 2008-2018 were reviewed and synthesized. Overall, individuals' decisions regarding EOL scenarios are influenced using AND. However, AND does not carry consistent meaning among healthcare providers or individuals, most of whom were surrogate decision-makers. Further research regarding how healthcare providers, surrogate decision-makers, patients, and healthy adults perceive the terms AND is indicated to better understand whether and how AND can be used to improve communication in EOL decision-making.
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