DNR Order and Elderly

Year 2017, Volume: 3 Issue: 3, 32 - 40, 28.12.2017

Burcu Çuvalcı , Sevilay Hintistan

https://doi.org/10.19127/mbsjohs.338904

Abstract

Cardiopulmonary resuscitation is a choice that must be made between the
return of life and the end of life. It is still a matter of controversy when
and where cardiopulmonary resuscitation will be implemented, and this
discussion has brought the "Do Not Resuscitate" order to the agenda.
For this reason, "Resuscitation" and "Do Not Resuscitate"
order lead to many ethical and legal dilemmas. The "Do Not
Resuscitate" order, which is a difficult decision to make, becomes more
difficult in the old age when ethical problems are frequent. Because of chronic
diseases and deterioration in cognitive functions, the ability to make
decisions about health practices of elderly individuals who are becoming
increasingly dependent in terms of physical and psychosocial dimensions are also
diminishing. In addition, lack of awareness, sensory/emotional barriers and
communication deficits prevent elderly people from participating in health care
decisions; it makes difficult to determine care target among the elderly and
health professionals. Especially to be adequate to the needs of nursing care
for the elderly, the problems related to "Do Not Resuscitate"
instruction which is an important part of end-of-life maintenance need to be
solved. For this purpose, the "Do Not Resuscitate" order should be
handled by health professionals and lawyers in a versatile manner and necessary
legal arrangements should be made.

Keywords

Elderly, Nursing, Do Not Resuscitate, DNR Order

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