What does a Do-Not-Resuscitate (DNR) order mean?

• A. Instructions not to perform CPR if breathing or heartbeat stops
• B. A legal document naming a medical power of attorney
• C. A directive to always pursue aggressive therapy
• D. Requirements for hospital admission

Answer: (A)

A DNR order means medical staff should not perform CPR if the person’s heart stops or they stop breathing. It specifically covers resuscitation efforts like chest compressions, defibrillation, and other immediate actions used to restart breathing or circulation during an arrest. The purpose is to honor a patient’s wishes about avoiding aggressive life-saving measures when CPR is unlikely to restore meaningful life or could cause more harm, while still allowing comfort care and other treatments that are appropriate. A DNR is a medical order created by a clinician after discussion with the patient or their surrogate; it does not designate a medical power of attorney, does not mandate always pursuing aggressive therapy, and does not determine hospital admission requirements. In short, the essence is that CPR should not be attempted if breathing or heart function has ceased, with other care offerings determined separately.