Do Not Resuscitate Of The Mark
In the absence of a valid DNR order, patients calling for ambulance service will receive the full scope of restorative interventions, including aggressive, life-saving resuscitation if necessary. Broken ribs, ruptured spleen, brain damage, and therefore can be regarded as a form of passive euthanasia. Ethically, resuscitation may be forgo in several circumstances, such as when it will not restart the heart or breathing, when there is no benefit to the patient and when the benefits are outweighed by the burdens.
DNR order may be instituted through advance directive from a person or from someone entitled to make decisions on their behalf, such as a health care proxy. In any case, it should only be issued after discussion with patients or their family. However, in some jurisdictions, DNR orders can also be instituted on the basis of a physician’s own initiative, usually when resuscitation would not alter the ultimate outcome of a disease, and is designed to prevent unnecessary suffering.
Methods to identify a patient with a DNR order varied with hospitals, from written documentation to the use of color-coded wristbands. However, no standards of color choice existed currently for hospitals using color-coded wristbands, which saw each hospital applying a different set of colors for different indications.
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