A communication training perspective on and versus DNR directives Journal Article
| Authors: | Levin, T. T.; Coyle, N. |
| Article Title: | A communication training perspective on and versus DNR directives |
| Abstract: | Background: From a communication perspective, the term do not resuscitate (DNR) is challenging to use in end-of-life discussions because it omits the goals of care. An alternative, Allow Natural Death (AND), has been proposed as a better way of framing this palliative care discussion. Case: We present a case where a nurse unsuccessfully discusses end-of-life goals of care using the term DNR. Subsequently, with the aid of a communication trainer, he is coached to successfully use the term AND to facilitate this discussion and advance his goal of palliative care communication and planning. Discussion: We contrast the advantages and disadvantages of the term AND from the communication training perspective and suggest that AND-framing language replace DNR as a better way to facilitate meaningful end-of-life communication. One well-designed, randomized, controlled simulation study supports this practice. We also consider the communication implications of natural versus unnatural death. Copyright © Cambridge University Press 2014. |
| Keywords: | end-of-life communication; communication training; advance care directives; allow natural death (and); do not resuscitate (dnr) |
| Journal Title: | Palliative and Supportive Care |
| Volume: | 13 |
| Issue: | 2 |
| ISSN: | 1478-9515 |
| Publisher: | Cambridge University Press |
| Date Published: | 2015-04-01 |
| Start Page: | 385 |
| End Page: | 387 |
| Language: | English |
| DOI: | 10.1017/s147895151400039x |
| PROVIDER: | scopus |
| PUBMED: | 24774227 |
| DOI/URL: | |
| Notes: | Export Date: 3 June 2015 -- Source: Scopus |
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