• Mt. Sinai J. Med. · Oct 2008

    Case Reports

    Do not resuscitate does not mean do not treat: how palliative care and other modalities can help facilitate communication about goals of care in advanced illness.

    • Cardinale B Smith and Lynn Bunch O'Neill.
    • Brookdale Department of Geriatrics and Adult Development, Hertzberg Palliative Care Institute, Mount Sinai Medical Center, New York, NY, USA. cardinale.smith@mssm.edu
    • Mt. Sinai J. Med. 2008 Oct 1;75(5):460-5.

    AbstractA do-not-resuscitate (DNR) order is commonly used for hospitalized patients with advanced illness. It reflects only the desires of a patient once he or she suffers a full cardiopulmonary arrest. It does not reflect preferences about other forms of life-sustaining treatments. This article reviews the definition of a DNR order, describes the evidence suggesting that physicians use a DNR order in making determinations about other life-sustaining treatments, and will provide tools such as the use of palliative care consultations and combined directives in discussing overall goals of care.

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