Quote from mep726
Yes, I understand this. That wasn't my question though. Its a case study and I have to tell why I would not honor the DNR order that is in place and if I do honor it then explain why and the legal and ethical justifications as to why.
What exactly are you asking though? It does seem like you don't understand what DNR means.
The patient does not currently require resuscitation. So there is nothing to honor or not honor.
Your question: "Do you honor the family's wishes or the patients?" doesn't make any sense. The family's wishes are not in conflict with the patient's wishes.
DNR means--- If I die, let it happen. In other words, if my heart stops beating, don't do CPR. A DNR is not valid during surgery. Because the surgeon is doing stuff that can make the heart stop beating. So you always resuscitate on the operating table.
If the question is "Do we go ahead with the surgery?" Well, the patient's DNR isn't about whether or not to do the surgery. So yeah, you do what the next of kin wants. You don't make assumptions about what the patient would have wanted based on his suicide attempt. His suicide attempt is irrelevant here.
If the question is do I do CPR if he dies in surgery? See above. A DNR isn't valid during surgery.
If the question is, do I do CPR after he comes out of surgery in case his heart stops beating after he was stabilized? No, you don't. He's a DNR. His suicide attempt did not invalidate his DNR.
If the question is "Do I pull the plug?" That's a choice for the family too. You can't make assumptions based on his suicide attempt, or on his DNR.