Unilateral Do-Not-Resuscitate Orders
To The Editor In their Viewpoint, Dr Piscitello and colleagues argue that explicit documentation of unilateral do-not-resuscitate (UDNR) orders is an ethical obligation. They propose a conceptual framework recognizing 2 distinct forms of UDNR decision: the conflict UDNR decision, made “despite active opposition expressed by the patient or surrogate,” and the assent UDNR decision, whereby a DNR decision is communicated to patients or surrogates who do not express, but may have, disagreement.
To The Editor In their Viewpoint, Dr Piscitello and colleagues argue that explicit documentation of unilateral do-not-resuscitate (UDNR) orders is an ethical obligation. They propose a conceptual framework recognizing 2 distinct forms of UDNR decision: the conflict UDNR decision, made “despite active opposition expressed by the patient or surrogate,” and the assent UDNR decision, whereby a DNR decision is communicated to patients or surrogates who do not express, but may have, disagreement.
