In this case: If your doctor has already written a DNR order at your request, your family may not override it. The meaning of futility may be understood in a different way, but always the ethical principles must be considered: beneficence, maleficence, social justice and autonomy of the patient.
Learn more about A. A large survey of Electrophysiology practitioners, the heart specialists who implant pacemakers and ICDs, noted that the practitioners felt that deactivating an ICD was not ethically distinct from withholding CPR thus consistent with DNR. This dilemma might be decided only by an interdisciplinary conference.
It's common for families to use a combination of the durable power of attorney and advance directive to help the physician make the call. Other states are less regimented, honoring any type of DNR order. Medical Terms Related to Life-Sustaining Treatment Cardiopulmonary resuscitation CPR : An action taken to revive a person whose heart stops cardiac arrestwhose breathing stops respiratory arrestor whose heart and breathing stop cardiopulmonary arrest.
In those cases where orders were taken by a nurse over the phone, states usually set a deadline for the doctor to physically verify and sign the order—in California, for example, a doc must sign the DNR within 24 hours.