Talk:Do not resuscitate

message: The article as it stands is quite good, but it needs some international perspective, as it is completely US-based (which perfectly reasonable if the authors are American.) DNR (or NFR) orders are quite different in the UK, and I suppose in other parts of the world. An international persective would be useful. It might also be helpful to discuss the different perception between doctors and the public of the likely success of CPR and advanced life support. Anyone?
Jellytussle 17:20, 6 December 2006 (UTC)
replies: text:  I'd like to see proper citation used through the article, especially for "In many jurisdictions, medical professionals are ordered not to acknowledge DNR orders." Its not doubt that this occurs but rather, wanting to see the claim made concrete. GavinZac 14:41, 10 December 2006 (UTC)
replies: text:  As a licensed EMT-B, I can verify that we are instructed to honor DNR orders at the scene unless any family member present asks us to intervene, in which case we are required to do so and take the patient to the ER. A DNR can only be honoured against family wishes by a doctor. --DesiArcy (talk) 23:29, 7 August 2009 (UTC)
thread_title: US

message: Does anyone think there should be a paragraph or section included in this article about DNR tattoos?Peaceoutside 22:52, 16 July 2007 (UTC)
replies: text: Maybe you have your wish now :)
 http://www.nejm.org/doi/full/10.1056/NEJMc1713344 
Chickpecking (talk) 08:32, 7 December 2017 (UTC)
thread_title:  DNR Tattoos 

message: This article desperately needs to be rewritten by someone (preferably a physician) who works in critical care. I'm an American medical student and in my very brief experience with DNR orders, the way they are actually described to patients and the effect they have on care is pretty poorly captured by this article.
Also, I'm not sure where the 10% success figure is coming from, but whether or not ACLS is successful is highly context dependent. A brief websearch reveals this: http://emj.bmj.com/cgi/content/abstract/21/3/370 which makes me suspect that the 10% figure is a low-ball figure for the success rate of recusitation during non-hospital encounters.  It isn't very informative to rattle off (uncited) figures without giving some idea as to what the population those figures are derived from is. My suspicion is that in-hospital resuscitation has a much higher success rate than reported in this article. 70.5.13.102 05:45, 2 September 2007 (UTC)
thread_title:  Accuracy of CPR 

message: This article was automatically assessed because at least one WikiProject had rated the article as start, and the rating on other projects was brought up to start class. BetacommandBot 03:56, 10 November 2007 (UTC)
thread_title:  WikiProject class rating

message: Advance directives and DNAR orders are quite different as you can read on Decisions Relating to Cardiopulmonary Resuscitation. A Joint Statement by the British Medical Association, Resuscitation Council (UK) and the Royal College of Nursing” 2007.
This article should be reviewed in order to make this more clear.  —Preceding unsigned comment added by 195.23.102.126 (talk) 12:30, 16 February 2011 (UTC)
thread_title:  Accuracy of terms 

message: I think ethical issues around this topic could be fleshed out more. Having dealt with some professionally, I will try to work on this. What do you do in the case of a pt who is a DNR but tried to commit suicide? Also there is unfortunate confusion between comfort care and DNR even among health care providers. What ethical issues are involved when you decide on DNR but have an implantable cardioverter-defibrillator- there is debate about turning these off in certain situations. I have seen lackadaisical medicine for DNR patients but for me I am if anything more careful in DNR patients so they do not cross the point of "no return" (needing a vent or cardiac intervention).Chickpecking (talk) 23:30, 13 December 2015 (UTC)
replies: text: This is a great point, I think other points to consider would be disagreements within a medical team as to whether or not DNR should be ordered, differences in opinion between the patient and their relatives, and communication about DNR between medical providers and their families.  Sophiakalei (talk) 01:32, 13 September 2022 (UTC)

text: Agree with all of the above points. One area in particular that I think could be fleshed out more is the section regarding ethnic/racial disparities in rates of adoption for DNR. Numerous studies have found that there are inaccurate beliefs regarding resuscitation and the expected outcomes among the general public, which is likely even more prevalent in disadvantaged communities. Improving education around DNR in these populations through media, community interventions, and other avenues may be a way to address these disparities. Christophermlee (talk) 23:05, 15 September 2022 (UTC)
thread_title:  Ethical Issues 

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thread_title:  Blacklisted Links Found on the Main Page 

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thread_title:  External links modified 

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thread_title:  External links modified 

message: The Netherlands has the Niet-Reanimeringsverklaring, or Non-Resuscitation Statement. In 2007, the policy came into effect.  It was authorized by the NVVE.
The contribution above was added to the article page by  at 2017-11-19T16:00:36 with the edit comment:
: The Dutch also have the DNR form, called the Niet-Reanimeringsverklaring. I learned about it in my Dutch Language Studies.)
::  Spintendo  ᔦᔭ  20:38, 6 December 2017 (UTC)
thread_title:  Netherlands 

message: Hello, we are a group of 4 students in the UCSF School of Pharmacy Class of 2021T and our goals for editing this article include:
*add in requirements for other countries? 
*confirm US requirements
*add forms of DNR including medical bracelets, use of DNR tattoos 
Tranhtruong (talk) 21:43, 29 July 2019 (UTC)
replies: text: I moved your signature to the end of the text. Health policy (talk) 03:31, 31 July 2019 (UTC)
replies: text: US state laws generally require CPR unless there is a doctor's signed order not to or a state-approved bracelet. Even if the tattoo included a doctor's signature, most medics might have doubts about honoring it, since the tattoo artist actually put in the signature, not the doctor. The tattoo could have a QR code or web address holding a pdf of the doctor's signature, but medics are likely to start CPR immediately and only if they have time later go to the website and perhaps stop CPR. It seems far more useful to have the state-approved bracelet, or have the signed order on a folded piece of paper taped to the driver's license. The 2nd medic looks at the driver's license soon after the first one starts CPR. They need ID for billing and reporting. Numbersinstitute (talk) 20:42, 31 July 2019 (UTC)
thread_title:  Foundations 2 2019, Group 5b goals 

message: Do the group’s edits substantially improve the article as described in the
Wikipedia peer review “Guiding framework”?
* Yes, this group has added the topics of DNR medical jewelry and DNR tattoos to the article, and they were not previously present. They have also expanded on DNR in Taiwan and Japan. 
Has the group achieved its overall goals for improvement?
* Goal 1: Requirements for other countries. This goal was fulfilled. They added the requirements for Japan and Taiwan.
* Goal 2: Confirm U.S. requirements. We are unsure if this goal was fulfilled. The group did not edit any text regarding U.S. requirements. If the group did indeed confirm the U.S. requirements with the current article text, they can update their Talk section stating that this was done.
* Goal 3: add forms of DNR including medical bracelets, use of DNR tattoos. This goal was fulfilled. They added a section on DNR tattoos and medical bracelets.
Does the draft submission reflect a neutral point of view? If not, specify…
* The added information for medical jewelry and DNR tattoos provides a neutral point of view. Additionally, the information about the legality of DNR in Taiwan and Japan are fairly factual and devoid of any positive or negative connotations. Christinewmin (talk) 16:21, 6 August 2019 (UTC)
thread_title:  Peer Review of Team 5b by Team 5a 

message: Tentative plan for UCSF editing: Expand on patient values, medical jewelry, DNR tattoos, usage by country (New Zealand/more countries in the middle east), repercussions of violating a DNR order, and potentially add more controversial court cases to supplement that section. Etopn23 (talk) 17:07, 30 August 2021 (UTC)
thread_title:  UCSF Group 3d agenda 

message: — Assignment last updated by Christophermlee (talk) 23:33, 16 September 2022 (UTC)
thread_title: Wiki Education assignment: UCSF SOM Inquiry In Action-- Wikipedia Editing 2022

message: Hey,can someone with a wiki data account replace the citation needed on the image about no code with the second citation? Coolman2932 (talk) 20:44, 12 September 2022 (UTC)
thread_title:  No code 

message: We are reviewing this article as part of a university assignment, and have identified the following areas for improvement:
- Clarify use of the 222/2222 DNR code in the UK
- Insert citation for "no code" usage under the DNR image
- Link medical futility term to sister page
- Improve citations for medical jewellery application and usage in the relevant section WillP92 (talk) 03:57, 27 January 2023 (UTC)
replies: text: I have edited the no code citation to include the medline citation that is quoted later in the article again and added it to the image where it previously said "citation needed" Preetiraghwani (talk) 04:06, 27 January 2023 (UTC)

text: Edited citation needed in caption next to "no code" under image to correspond to references 4 and 5 respectively. Preetiraghwani (talk) 07:33, 27 January 2023 (UTC)
replies: text: Removed reference to the old practice of 222 coding, updated the language and links to reflect the contemporary recommendations. WillP92 (talk) 02:54, 29 January 2023 (UTC)
thread_title:  MEDI6100 WikiProject Task 2023 

message: Suddenly under "Less care for DNR patients" the acronym 'DNAPR' is used without explanation (first sentence). The paper to which reference is then made in relation to it makes no reference to either 'DNAPR' or to 'DNACPR', but refers, like the rest of the article, only to 'DNR'.
So it seems as if DNAPR is simply a mis-type for DNR, in which case it could be corrected without further ado.
If on the other hand for some reason this 'DNAPR' is meant to be 'DNACPR' then it could usefully be corrected to that and the full expansion given (Do Not Attempt CardioPulmonary Resuscitation), but a little further explanatory text would be required to make clear why this different terminology is suddenly being introduced.Buyani Nyoni (talk) 07:20, 23 February 2024 (UTC)
replies: text: I should add that this is the sole use of the acronym 'DNAPR' in the article.Buyani Nyoni (talk) 07:24, 23 February 2024 (UTC)
thread_title:  Unexplained acronym