The Journal of Emergency Medicine
Volume 33, Issue 3 , Pages 299-305, October 2007

Does a Living Will Equal a DNR? Are Living Wills Compromising Patient Safety?

  • Ferdinando L. Mirarchi, DO, FAAEM

      Affiliations

    • Corresponding Author InformationReprint Address: Ferdinando L. Mirarchi, do, faaem, Department of Emergency Medicine, Hamot Medical Center, 201 State Street, Erie, PA 16550

Department of Emergency Medicine, Hamot Medical Center, Erie, Pennsylvania

Received 3 November 2005; received in revised form 9 August 2006; accepted 16 November 2006. published online 19 July 2007.

Abstract 

Living wills are thought to protect the medical decision-making capacity of patients. Presented are three case scenarios of patients with living wills presenting to health care facilities for treatment, and their hospital courses. Living wills have never been thought to compromise patient care or safety, but their use has not been adequately studied with respect to risks, benefits, or consequences. This case series will define a scenario as well as how that scenario was affected by the presence of a living will. In addition, existing data regarding the care provided to patients with a code status designation of DNR (do not resuscitate) are reviewed.

Keywords: living will, DNR, patient safety, code status

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PII: S0736-4679(07)00161-8

doi:10.1016/j.jemermed.2007.02.026

The Journal of Emergency Medicine
Volume 33, Issue 3 , Pages 299-305, October 2007