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Published on: August 15, 2022
The Final Day: What Happens Without a Pre-Existing Do Not Resuscitate Order?
Meaghann S Weaver1, Jia Liang2, Abagail D Cohen3
1Bioethics Program, St Jude Children's Research Hospital, Memphis, TN; Division of Palliative Care, Department of Oncology, St Jude Children's Research Hospital, Memphis, TN.
Abstract:
Children with cancer may not have a do not resuscitate (DNR) order, yet absence rarely guarantees cardiopulmonary resuscitation (CPR). In a review of 344 inpatient deaths over a decade, 85% had DNR orders; 20% received CPR, mostly for perceived reversibility. Intensive care unit location and active chemotherapy were associated with fewer DNR orders. Families often declined CPR, despite absence of a DNR order, when death was imminent.
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