Okay, I may sound dumb here, but it hasn't stopped me before
Am I understanding that these two terms are to be used synonymously?
Because I see a large difference in the two.
To me, DNR, in its plainest terms, indicates that no efforts to resuscitate will be made in the event
of cardiac and/or respiratory arrest, but that all interventions will be performed up to that time.
AND, as I see it, means that no interventions at all will be performed, unless they provide comfort vs. medical necessity, (allowing nature to take its course, so to speak.)
I believe both are fine, of course, but I can see a problem if the terms are used interchangeably. At my facility, we don't use AND, we use the term "comfort care," but do not ever use it in place of DNR.