Appropriate use of DNR orders: a practical approach.
Level V
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Abstract
Too often, physicians, patients, and families make end-of-life care decisions despite poor physician-patient communication and misunderstanding by the patient and family about the effectiveness of cardiopulmonary resuscitation. We describe an approach to resolving conflict and reaching consensus on end-of-life care. This approach supports physician judgment to withhold futile treatment within the constraints of law and patient autonomy.