DNAR (Do Not Attempt Resuscitation)
It is important and worthwhile to consider your feelings and wishes in regards to a Do Not Attempt Resuscitation (DNAR) order or comparable legal document. This matter is best considered over a period of time with all significant information available, a clear and rested mind, along with an understanding of how the decision affects all parties (patient, parent, medical professional, rescue personal, etc.) involved. The Pediatric Intensive Care Unit, the ambulance, or the family room in the Emergency Department is not the ideal place to make this decision; the environment is already mixed with incredible stress, lack of sleep, confusion for some, and urgency for most parties involved. This matter is very personal and there are no correct or easy answers. The best time to consider the possibilities is when you have the gift of time to reflect on your family’s wishes before the matter becomes urgent and unavoidable. Discuss questions with your Primary Care Physician such as the general success of CPR, the quality of life you wish for the patient (including the rest of the family), and the reality of the diagnosis the patient lives with.