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- W2133362786 abstract "Abstract Background: From a communication perspective, the term “do not resuscitate” (DNR) is challenging to use in end-of-life discussions because it omits the goals of care. An alternative, “Allow Natural Death” (AND), has been proposed as a better way of framing this palliative care discussion. Case: We present a case where a nurse unsuccessfully discusses end-of-life goals of care using the term DNR. Subsequently, with the aid of a communication trainer, he is coached to successfully use the term “AND” to facilitate this discussion and advance his goal of palliative care communication and planning. Discussion: We 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." @default.
- W2133362786 created "2016-06-24" @default.
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- W2133362786 date "2014-04-28" @default.
- W2133362786 modified "2023-09-25" @default.
- W2133362786 title "A communication training perspective on AND versus DNR directives" @default.
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- W2133362786 doi "https://doi.org/10.1017/s147895151400039x" @default.
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