Quote from birdgardner
One problem is that other than homicide and accident, death is natural.
If the patient is in worsening respiratory distress, the natural progression is death.
If the patient has a UTI and goes septic, the natural progression is death.
The term DNR specifies drawing the line at resuscitation; AND does not specify at all.
Yes, it sounds better, gentler - but it will need to go along with a very specifically filled out checklist and much discussion, which may bring the patients and families back to the same place as before.
I agree -- anything phrased as "allow ..." always sounds nicer than anything phrased "do not;" but we've had many discussions here over time about all the healthcare people NOW who think "DNR" equals "do not treat
." At least "do not resuscitate" is v. clear and specific -- do not resuscitate
. "Allow natural death" could mean don't suction 'em, don't bother turning 'em, don't bother with the most basic, "mainstream" interventions -- because we're allowing a natural death
IMHO, there are far too many "polite euphemisms" in healthcare already -- we would all benefit from a healthy dose of plain, clear English.