Monday 11 May 2015

A communication training perspective on AND versus DNR directives

Palliative & Supportive Care, April 2015, 13(2):385-7
Levin TT;  Coyle N.

An alternative, "Allow Natural Death" (AND), has been proposed as a better way of framing end of life discussions.   The authors 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.

Fulltext available in Palliative and Supportive Care
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