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Journal of Medical Ethics 2008;34:887-888; doi:10.1136/jme.2008.024570
Copyright © 2008 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.

Research ethics

"Allow natural death" is not equivalent to "do not resuscitate": a response

Case Western Reserve University, Cleveland, Ohio, USA

Correspondence to:
Dr Yen-Yuan Chen, Department of Bioethics, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA; yxc96{at}case.edu

Venneman and colleagues argue that "do not resuscitate" (DNR) is problematic and should be replaced by "allow natural death" (AND). Their argument is flawed. First, while end-of-life discussions should be as positive as possible, they cannot and should not sidestep painful but necessary confrontations with morality. Second, while DNR can indeed be nonspecific and confusing, AND merely replaces one problematic term with another. Finally, the study’s results are not generalisable to the populations of physicians and working nurses and certainly do not support the authors’ claim that there is a movement to replace DNR with AND.


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This article has been cited by other articles:

  • Sokol, D. K (2009). The death of DNR. BMJ 338: b1723-b1723 [Full Text]  

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