With a DNR- naw. Without a DNR? Yes.
ok....I've had a similar situation to this as well....and the thing I CAN NOT understand is WHY in the world the nursing home is sending in a patient who is a DNR and is actively dying??!?! Poor assessment skills? Or is it because they think we can make them more comfortable?? I don't get it....hope the shift didn't stay crappy like that for ya!!
Why is that a bad day? Without the DNR is a bad day, but that is the way I expect patients from a nursing home. The nursing home paperwork rarely includes advance directive paperwork. A note on one page, that states DNR, while the next page states full code, is a bit more like it. I blame the nursing home doctors for not making sure the right paperwork is in the chart.Why is it wrong to send the patient to the ED for comfort measures? You don't really expect that the doctor for the nursing home will give orders that are appropriate for a dying patient with a DNR, do you?I am sure that some do, but they do not appear to be common.
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