AND vs DNR

AND vs DNR

                 CPR:  Cardiopulmonary resuscitation 心肺復甦術

                                                DNR:  Do No Resuscitation 不施行心肺復甦術

                 LST:   Life Sustaining Treatment 維生醫療

                                                NLST:  No Life Sustaining Treatment 不施行維生醫療

                AND:  Allow Natural Death 允許自然死

 

Hospice palliative medicine is not “abandoning” of medical care. It is humanistic medical care to the last minute of life and to allow natural death. To pursue DNR (Do No Resuscitation) at the terminal stage is to allow natural death (AND) to run its peaceful and dignified course. Physicians should not apply futile extraordinary medical measures for the terminal patients. DNR sounds like physician’s negative non-doing. Recently, AND (Allow Natural Death) was proposed to replace DNR. Does it sound more acceptable? AND should include no-CPR and no-LST.

 安寧緩和醫學不是「放棄」醫療照顧，它是積極給予臨終病人人性化的醫療照顧到最後一分鐘，「允許自然死」。讓病人能夠有尊嚴的安詳往生。醫師不應該對末期及病臨終病人施予無效的過度的醫療措施。有人認為DNR不施行心肺復甦術，好像是醫師的消極不作為，因此建議改稱：允許自然死亡(AND: Allow Natural Death)。是否較能被接受? 允許自然死亡應該包括不施行心肺復甦術及不施行維生醫療。

請參閱下文:

DNR, DNAR, or AND. Is Langguag Important?

Breault JL. Ochsner J. 2011 Winter. 11(4): 302-306.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3241061/