Changing code status to DNR/DNI

  1. 4
    There is something just so satisfying about locating your 95 year old demented patient's advanced directive in the computer and having the hospitalist change his code status to DNR/DNI...
    Last edit by Lev <3 on Oct 14, '13
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  5. 0
    Why is that satisfying?
  6. 32
    Quote from kp1987
    Why is that satisfying?
    Because no one enjoys shattering the ribcage of the dead body of a 95 year old.
  7. 4
    Quote from BrandonLPN
    Because no one enjoys shattering the ribcage of the dead body of a 95 year old.
    Exactly.
    loriangel14, BriRN, SoldierNurse22, and 1 other like this.
  8. 0
    Assuming the 95 y/o still wants it? which i hope if they still have a mind , can say so.

    I must say I feel relief usually also if pt has advance directives/molst forms.

    Have had a few aox3 >85 y/o lately.

    ooops , didnt see "demented" pt - sorry
  9. 9
    Quote from kp1987
    Why is that satisfying?
    It reduces the chances that there will be a messy end to what hopefully has been 95 years of fruitful life lived.
    loriangel14, Do-over, BriRN, and 6 others like this.
  10. 3
    Quote from kp1987
    Why is that satisfying?
    For one thing, you are carrying out his wishes as stated in his living will. Also, if in case he did code, we wouldn't have to crack open his fragile ribs to give him maybe a couple more months or weeks to live (which he did not want to begin with).
  11. 2
    Quote from jrwest
    Assuming the 95 y/o still wants it? which i hope if they still have a mind , can say so.

    I must say I feel relief usually also if pt has advance directives/molst forms.

    Have had a few aox3 >85 y/o lately.

    ooops , didnt see "demented" pt - sorry
    His living will said he did not want any measures to extend his life. He was demented. Wife was signed over as POA.
    jrwest and SoldierNurse22 like this.
  12. 3
    I agree. I personally wouldn't say I feel satisfied, specifically, but I definitely do feel relieved and less anxious while caring for them.
    Daliadreamer, twinkletoes53, and Lev <3 like this.
  13. 0
    We get patients from local nursing homes all of the time who are admitted as full codes. . .they are usually about 100 yrs old, dementia, FTT and admitted for either AMS or a fall. . .and when going thru their admission paperwork I find DNR forms! I HATE it. I call the doctors and get them to change the order in the computer but what if something happens during those couple of hours it takes a doctor to do anything? Would I have to jump on their chest??


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