• J Palliat Med · Jun 2020

    DNR, DNI, and DNO?

    • Christy E Cauley, Areej R El-Jawahri, Juliet C Jacobsen, Brooks V Udelsman, Vicki A Jackson, Jennifer S Temel, and Motaz Qadan.
    • Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
    • J Palliat Med. 2020 Jun 1; 23 (6): 829-831.

    AbstractThe addition of a do-not-operate (DNO) section to current medical orders for life-sustaining treatment (MOLST) and physician orders for life-sustaining treatment (POLST) medical order forms would more completely document patients' wishes for invasive interventions at the end of life. We propose a modification of the MOLST and POLST forms, in addition to hospital and electronic medical records, to include a DNO section, in addition to preexisting do-not-resuscitate (DNR) and do-not-intubate (DNI) orders, with the goal of reducing suffering from nonbeneficial surgical interventions in patients with severe illness at the end of life.

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