<?xml version="1.0" encoding="iso-8859-1"?><!-- generator="wordpress/2.0.7" -->
<rss version="2.0" 
	xmlns:content="http://purl.org/rss/1.0/modules/content/">
<channel>
	<title>Comments on: &#8220;please DNR me my love&#8221;</title>
	<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html</link>
	<description>a nurse blog.</description>
	<pubDate>Thu, 20 Nov 2008 15:24:49 +0000</pubDate>
	<generator>http://wordpress.org/?v=2.0.7</generator>

	<item>
		<title>by: Jayne</title>
		<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-73980</link>
		<pubDate>Fri, 28 Mar 2008 23:02:27 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-73980</guid>
					<description>I am in agreement, I would definately be a DNR and hope I would make the same decision for my family.  It's too bad that the doctors don't advocate in the best interest of the patients.  I think they are afraid of being sued down the road if they don't do everything possible to save their patients.</description>
		<content:encoded><![CDATA[<p>I am in agreement, I would definately be a DNR and hope I would make the same decision for my family.  It&#8217;s too bad that the doctors don&#8217;t advocate in the best interest of the patients.  I think they are afraid of being sued down the road if they don&#8217;t do everything possible to save their patients.
</p>
]]></content:encoded>
				</item>
	<item>
		<title>by: Rygel</title>
		<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71825</link>
		<pubDate>Mon, 25 Feb 2008 14:14:27 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71825</guid>
					<description>YES! i'd never want to be a burden to my family if I won't come back 100% i'd rather go away 100%</description>
		<content:encoded><![CDATA[<p>YES! i&#8217;d never want to be a burden to my family if I won&#8217;t come back 100% i&#8217;d rather go away 100%
</p>
]]></content:encoded>
				</item>
	<item>
		<title>by: Kaliki</title>
		<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71754</link>
		<pubDate>Sun, 24 Feb 2008 21:44:50 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71754</guid>
					<description>Definitely DNR for me.  I am a hospice nurse and discuss the DNR on a daily basis with patients who are terminally ill (and their families).  I try to tell them gently what a real Code looks like and how it could never work for someone who is already so sick.  I have had cancer patients tell me that they want to be DNR if they code because of the cancer, but not if the problem is with their heart, for example. Sigh.  Television has done a disservice in this way, for sure.  DNR for my relatives, too.  I just know too much.</description>
		<content:encoded><![CDATA[<p>Definitely DNR for me.  I am a hospice nurse and discuss the DNR on a daily basis with patients who are terminally ill (and their families).  I try to tell them gently what a real Code looks like and how it could never work for someone who is already so sick.  I have had cancer patients tell me that they want to be DNR if they code because of the cancer, but not if the problem is with their heart, for example. Sigh.  Television has done a disservice in this way, for sure.  DNR for my relatives, too.  I just know too much.
</p>
]]></content:encoded>
				</item>
	<item>
		<title>by: RehabRN</title>
		<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71620</link>
		<pubDate>Sat, 23 Feb 2008 13:43:21 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71620</guid>
					<description>I have a HCPOA and I told my husband, and our designate to use it.

Our designate, if we are both incapacitated, knows our wishes (we discussed them AND wrote them down).

Sure I'll take a chance for a week, but I do not want to be a useless cadaver for someone to stare at on machines, which is basically what you can be in certain circumstances. I know I have other family members who will not appreciate my wishes, but they are the EXACT reason why I stated what I want. They'd do whatever they wanted just for appearances, which is not my thing.

I had an elderly relative die a few years ago after being in an accident. His family thought he was getting better, then he went downhill and they said there was no way to save him and he needed a PEG. They refused and he died. I'll never forget the wake, because his son was worried about this. I asked him, "Did you do what he wanted?" He told me yes. Then I told him, "You did what he wanted you to do--you fulfilled his wishes and let people know them so he could die in peace. That is a wonderful gift."

If needed, I hope someone can do the same for me.</description>
		<content:encoded><![CDATA[<p>I have a HCPOA and I told my husband, and our designate to use it.</p>
<p>Our designate, if we are both incapacitated, knows our wishes (we discussed them AND wrote them down).</p>
<p>Sure I&#8217;ll take a chance for a week, but I do not want to be a useless cadaver for someone to stare at on machines, which is basically what you can be in certain circumstances. I know I have other family members who will not appreciate my wishes, but they are the EXACT reason why I stated what I want. They&#8217;d do whatever they wanted just for appearances, which is not my thing.</p>
<p>I had an elderly relative die a few years ago after being in an accident. His family thought he was getting better, then he went downhill and they said there was no way to save him and he needed a PEG. They refused and he died. I&#8217;ll never forget the wake, because his son was worried about this. I asked him, &#8220;Did you do what he wanted?&#8221; He told me yes. Then I told him, &#8220;You did what he wanted you to do&#8211;you fulfilled his wishes and let people know them so he could die in peace. That is a wonderful gift.&#8221;</p>
<p>If needed, I hope someone can do the same for me.
</p>
]]></content:encoded>
				</item>
	<item>
		<title>by: andre</title>
		<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71439</link>
		<pubDate>Wed, 20 Feb 2008 17:12:13 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71439</guid>
					<description>me and my colleagues have also discussed this issue among us and all of us, would want DNR status for ourselves. the question is, would we want it also for our loved ones? hmmm..it makes me think now...if anything happens to my parents especially my mom, i don't think, i'll have the courage to just say, yeah just leave her alone and make her DNR. of course, i don't want to see her suffering but then, i'm also selfish and don't want her to leave me....hate this type of decision making... &#62;(</description>
		<content:encoded><![CDATA[<p>me and my colleagues have also discussed this issue among us and all of us, would want DNR status for ourselves. the question is, would we want it also for our loved ones? hmmm..it makes me think now&#8230;if anything happens to my parents especially my mom, i don&#8217;t think, i&#8217;ll have the courage to just say, yeah just leave her alone and make her DNR. of course, i don&#8217;t want to see her suffering but then, i&#8217;m also selfish and don&#8217;t want her to leave me&#8230;.hate this type of decision making&#8230; &gt;(
</p>
]]></content:encoded>
				</item>
	<item>
		<title>by: Onehealthpro</title>
		<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71437</link>
		<pubDate>Wed, 20 Feb 2008 15:53:09 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71437</guid>
					<description>This would make a fascinating research project for a graduate student...and it's an important conversation for all human beings.  Trouble is most of us don't like to think about these moments until we're forced to.  When challenging issues like these are on the table in patient and family lives, they need support and conversation with ministers and/or social workers.  These battles are too tough to fight alone and most of the time, unfortunately, the medical and nursing staff are so busy with day to day responsibilities, there isn't time for the caring conversations they'd like to have with their patients.  Teamwork seems to be the only solution to ensure patients and families get what they need.
Onehealthpro</description>
		<content:encoded><![CDATA[<p>This would make a fascinating research project for a graduate student&#8230;and it&#8217;s an important conversation for all human beings.  Trouble is most of us don&#8217;t like to think about these moments until we&#8217;re forced to.  When challenging issues like these are on the table in patient and family lives, they need support and conversation with ministers and/or social workers.  These battles are too tough to fight alone and most of the time, unfortunately, the medical and nursing staff are so busy with day to day responsibilities, there isn&#8217;t time for the caring conversations they&#8217;d like to have with their patients.  Teamwork seems to be the only solution to ensure patients and families get what they need.<br />
Onehealthpro
</p>
]]></content:encoded>
				</item>
	<item>
		<title>by: PD Warrior</title>
		<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71418</link>
		<pubDate>Wed, 20 Feb 2008 11:07:38 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71418</guid>
					<description>May, you bring up a very valid point. I joke around at work all the time, saying I am going to come up with a new form to replace the DNR called a DNTM - Do Not Touch Me.

The question is, when it comes to my wife, would I be able to follow a DNR? Or would I revoke it? I really don't know the answer to that, and God willing I will never find out.

Perhaps this is just an illustration of my own selfishness. I don't want to live through excruciating pain, or the humiliation of needing someone else to bath and/or do peri-care on me when I can no longer do it myself. Yet, I do not want to lose my wife for any reason. She is part of my soul and I could not face life without her.</description>
		<content:encoded><![CDATA[<p>May, you bring up a very valid point. I joke around at work all the time, saying I am going to come up with a new form to replace the DNR called a DNTM - Do Not Touch Me.</p>
<p>The question is, when it comes to my wife, would I be able to follow a DNR? Or would I revoke it? I really don&#8217;t know the answer to that, and God willing I will never find out.</p>
<p>Perhaps this is just an illustration of my own selfishness. I don&#8217;t want to live through excruciating pain, or the humiliation of needing someone else to bath and/or do peri-care on me when I can no longer do it myself. Yet, I do not want to lose my wife for any reason. She is part of my soul and I could not face life without her.
</p>
]]></content:encoded>
				</item>
	<item>
		<title>by: Bobby</title>
		<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71374</link>
		<pubDate>Wed, 20 Feb 2008 00:46:49 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71374</guid>
					<description>You know, when I was Ardis' care taker, she signed a DNR. Then I managed to get her a liver transplant evaluation. Well, I had to get her to sign another advanced directive, this time, not DNR, because they will NOT go through a $500,000.00 operation for you if you are DNR. 
I am currently in this dilemma. I am TERRIFIED of being intubated, cause I KNOW I will panic. The last time I had cavities filled, I panicked bad. I filled his chair with sweat. I had to take ativan afterward! If I wake up intubated, OMG. So, I might not be brave enough to go through a transplant after all. They say transplants aren't for sissies.</description>
		<content:encoded><![CDATA[<p>You know, when I was Ardis&#8217; care taker, she signed a DNR. Then I managed to get her a liver transplant evaluation. Well, I had to get her to sign another advanced directive, this time, not DNR, because they will NOT go through a $500,000.00 operation for you if you are DNR.<br />
I am currently in this dilemma. I am TERRIFIED of being intubated, cause I KNOW I will panic. The last time I had cavities filled, I panicked bad. I filled his chair with sweat. I had to take ativan afterward! If I wake up intubated, OMG. So, I might not be brave enough to go through a transplant after all. They say transplants aren&#8217;t for sissies.
</p>
]]></content:encoded>
				</item>
	<item>
		<title>by: melissa</title>
		<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71346</link>
		<pubDate>Tue, 19 Feb 2008 19:25:57 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71346</guid>
					<description>i personally want to be a dnr when the time is right, and feel the same about my family members and children.  i never want myself or any loved ones to be kept alive by artificial means only to prolong to inevitable suffering that will occur.  in my years of being a nurse and based on what i've seen at work, the decision wasn't that hard, until the time when i'm finally put into the situation personally.  i will no doubt second guess at times, but ultimately will be true to my beliefs.

some of the problem i think is the docs, which is something you never mentioned in your post.  they need to step up to the plate and paint a real picture to families of what will or will never happen.  if they ask me, i am always willing to discuss the issue with the family to assess where they stand and what they want, which is a "chore" i believe many docs simply don't address adequately or many i've seen give some glimmer of false hope.  not all or most docs by any means, but there always seem to be those few who push it off onto nursing or social services.

recently we had a pt who was made a dnr literally hours before her death because her husband was not only under the impression that her "brain cells would re-grow" even though she had a recurrance of brain cancer that had metz'ed everywhere, but he was by no means ready to let her go.  he was even making arrangments to take her home to care for her the day of her death.  my gripe the whole time was her doc only concentrated on the semi improvement of her initial presentation of pneumonia with the husband, never the total picture, which the nurses did discuss, but because "the word" never came from the doc, then what we said was automatically discarded.  it was heart breaking for staff to see the suffering this pt and her family had.  her husband went from planning home care arrangements to planning her funeral.  that is why i will always be a dnr.</description>
		<content:encoded><![CDATA[<p>i personally want to be a dnr when the time is right, and feel the same about my family members and children.  i never want myself or any loved ones to be kept alive by artificial means only to prolong to inevitable suffering that will occur.  in my years of being a nurse and based on what i&#8217;ve seen at work, the decision wasn&#8217;t that hard, until the time when i&#8217;m finally put into the situation personally.  i will no doubt second guess at times, but ultimately will be true to my beliefs.</p>
<p>some of the problem i think is the docs, which is something you never mentioned in your post.  they need to step up to the plate and paint a real picture to families of what will or will never happen.  if they ask me, i am always willing to discuss the issue with the family to assess where they stand and what they want, which is a &#8220;chore&#8221; i believe many docs simply don&#8217;t address adequately or many i&#8217;ve seen give some glimmer of false hope.  not all or most docs by any means, but there always seem to be those few who push it off onto nursing or social services.</p>
<p>recently we had a pt who was made a dnr literally hours before her death because her husband was not only under the impression that her &#8220;brain cells would re-grow&#8221; even though she had a recurrance of brain cancer that had metz&#8217;ed everywhere, but he was by no means ready to let her go.  he was even making arrangments to take her home to care for her the day of her death.  my gripe the whole time was her doc only concentrated on the semi improvement of her initial presentation of pneumonia with the husband, never the total picture, which the nurses did discuss, but because &#8220;the word&#8221; never came from the doc, then what we said was automatically discarded.  it was heart breaking for staff to see the suffering this pt and her family had.  her husband went from planning home care arrangements to planning her funeral.  that is why i will always be a dnr.
</p>
]]></content:encoded>
				</item>
	<item>
		<title>by: COnurse</title>
		<link>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71297</link>
		<pubDate>Tue, 19 Feb 2008 07:10:05 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/please-dnr-me-my-love.html#comment-71297</guid>
					<description>Thank you for a different look at the DNR.  I often forget how the family feels to lose their loved one.  We have a patient who basically lives in our ICU she is currently on 3 pressers and CRRT, but the family is not ready to let go.  Saying goodbye and honoring my love one's wish is going to be very difficult when the time comes.</description>
		<content:encoded><![CDATA[<p>Thank you for a different look at the DNR.  I often forget how the family feels to lose their loved one.  We have a patient who basically lives in our ICU she is currently on 3 pressers and CRRT, but the family is not ready to let go.  Saying goodbye and honoring my love one&#8217;s wish is going to be very difficult when the time comes.
</p>
]]></content:encoded>
				</item>
</channel>
</rss>
