Hirvonen Outi, Pöyhiä Reino
Duodecim. 2016;132(9):844-9.
The do not resuscitate decision (DNR) is an important choice of line of action, which should not be made on light grounds, but if neglected, may harm a patient receiving palliative care. Before making the decision, one should evaluate an unsuccessful result of possible resuscitation regarding the restoration of vital functions and quality of life. Evaluation of factors suggesting a poor prognosis should be possible already before arriving at the resuscitation situation. The decision should be discussed with the patient, trying to reach a consensus on the matter. DNRs should be made more actively for patients benefiting from the decision.
不进行心肺复苏决定（DNR）是一项重要的行动方针选择，不应轻率做出，但如果被忽视，可能会对接受姑息治疗的患者造成伤害。在做出决定之前，应评估可能的复苏在恢复生命功能和生活质量方面的不成功结果。在进入复苏情况之前，就应该能够评估提示预后不良的因素。该决定应与患者讨论，努力就此事达成共识。对于能从该决定中受益的患者，应更积极地做出不进行心肺复苏决定。
