Ethicists and physicians are divided over how to proceed if the family disagrees. At many medical centers, the policy is to write a DNR order only with patient/family agreement.
If there is disagreement, every reasonable effort should be made to communicate with the patient or family. In many cases, this will lead to resolution of the conflict. In difficult cases, an ethics consultation can prove helpful. Nevertheless, CPR should generally be provided to such patients, even if judged futile.
Ethicists and physicians are divided over how to proceed if the family disagrees. At many medical centers, the policy is to write a DNR order only with patient/family agreement.
If there is disagreement, every reasonable effort should be made to communicate with the patient or family. In many cases, this will lead to resolution of the conflict. In difficult cases, an ethics consultation can prove helpful. Nevertheless, CPR should generally be provided to such patients, even if judged futile.