Unilateral Do-Not-Resuscitate Orders—Reply

In Reply We value Dr Moin’s feedback on our Viewpoint addressing inadequate documentation of UDNR orders. We agree with her about the ethical importance of transparently sharing when UDNR decisions are made and distinguishing between conflict and assent UDNR decisions. In our Viewpoint, we proposed that hospitals create a UDNR order and recommended that this order include a designation to document whether patients or surrogates actively oppose the UDNR decision. Including this designation within the UDNR order would distinguish between conflict UDNR decisions (active opposition is expressed) and assent UDNR decisions (active opposition is not expressed).