Do not resuscitate?

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Are priests or nuns allowed to take out a DNR order if failing health becomes an issue? I’m researching a book, and it involves terminal illness and the religious life. many thanks!

Blessed be,
Polska
 
Perhaps the question refers to ‘‘living wills’’ of which I know little but in my experince it was always the medical staff that took the decision not to resuscitate based on the quality the life they assessed the person to experience after resus.
 
The family and patient discuss it with the doctor and they decide together, but the patient or legal guardian have final say. If they have never expressed a preference the doctor decides according to the laws of the state and the bylaws of all facilities involved with the patient. I would assume the order would have something to say about it.
 
, but the patient or legal guardian have final say. .
Might be worth checking if that’s the case everywhere, because where I live that is not the case. Regardless of the patients wishs the medical staff will decide if they are going to resus or not. I have seen it myself - DNR - or NFR - on patients charts, and this was most clearly NOT the wish of the family or patient, but the medics, knowing the likelyhood of survival, or the resulantant damage upon a further stroke, heart attack etc, took a clinical decision not to resusitate regardless. This decision is communicated to the family, with great empathy, but the familys view changes nothing.
Two years ago I was involved with the admission of someone I was looking after; the hospital staff were fantastic, but two days later, following deterioration, I got a call to go to the hospital, and it was explained to me that they make the guy comfortable, manage his pain etc, but they would not resusitate him; myslef and his aunt had no say in the matter. A clinical decision had been made and that was that. 3 days later he passed away.
 
Are priests or nuns allowed to take out a DNR order if failing health becomes an issue? I’m researching a book, and it involves terminal illness and the religious life. many thanks!

Blessed be,
Polska
A priest who was a friend was diagnosed with terminal cancer. He was given six months to live with treatment and four months at the most without. He chose to not to be treated. No extra ordinary means of treatment are required for a terminal illness. What would resuscitation achieve? The best person do interview for your book would be the superior of an order. Such a decision would not be made without consultation with a superior.
 
Might be worth checking if that’s the case where you are, because where I live that is most definately not the case. Regardless of the patients wishs the medical staff will decide if they are going to resus or not. I have seen it myself - DNR - or NFR - on patients charts, and this was most clearly NOT the wish of the family or patient, but the medics, knowing the likelyhood of survival, or the resulantant damage upon a further stroke, heart attack etc, took a clinical decision not to resusitate regardless. This decision is communicated to the family, with great empathy, but the familys view changes nothing.
Two years ago I was involved with the admission of someone I was looking after; the hospital staff were fantastic, but two days later, following deterioration, I got a call to go to the hospital, and it was explained to me that they make the guy comfortable, manage his pain etc, but they would not resusitate him; myslef and his aunt had no say in the matter. A clinical decision had been made and that was that. 3 days later he passed away.
 
It is perfectly acceptable to not accept medical treatment past basic care for yourself. The thing that was heinous about the Sciavo case was that they were literally denying her nourishment.
 
Are priests or nuns allowed to take out a DNR order if failing health becomes an issue? I’m researching a book, and it involves terminal illness and the religious life. many thanks!

Blessed be,
Polska
Great topic and responses so far!

I would think that a DNR is completely compatable with Catholic teaching, although I can think of a possible exception; cardiac radiofrequecy ablation surgery for correction of arrhythymias. In simplified terms, this is a procedure where the cardiologist uses a catheter(s) to locate and destroy areas of the heart that are producing abnormal electrical activity which lead to abnormal heart rhythms.

This is a fairly common procedure nowadays, but can have serious complications during the prodecure, depending on what area of the heart is affected and if there’s underlying cardiac disease (bad valve, failing heart muscle, etc.) that’s causing the abnormal rhythm.

I’ve had several of these procedures done, thank the Almighty, the last one seems to have been completely successful. Fortunately, my arrhythymia was of the lessor risk type…but, they warned me that when “pacing” the heart through the cathether (lemme tell you it’s a very weird experience to have someone turning a dial and having your heart rate go up and down), they can trigger ventricular fibrillation and need to zap you back to normal, which is a form of recuscitation.

Sorry for the long explanation, but my point is that of a previous poster; if the quality of life is expected to be greater after a procedure and the procedure is relatively high risk (in terms of needing possible recuscitation), then a DNR order would seem to be contrary to respecting the life of that particular individual.
 
Recuscitation would be called for in cases where the patient had at least a chance of recovery sufficent to be released from the hospital. In cases where one is talking maybe hours or days of survival with no chance of leaving the hospital before death. DNR is very appropriate. The patient is terminal.

Four years ago, I had a major heart attack, my kidneys and liver shut down, my stomach lining died and started to bleed, and one of my heart valves was only 25 percent effective. They restarted my heart before I had any brain damage, lowered my body temperature, and kept me on a vent with appropriate I.V.s for about three days. After the initial treatment the cardiologist and others told my family we have done all we can and now we wait to see if he turns around.

When my liver function moved in a very slightly positive direction they decided they were going to do surgery on the valve. My daughter had prayed to father Solanus Casey for a miracle and next morning before surgery an echo gram showed the damaged valve to be only 10 percent defective; much improved from 75 percent bad. No surgery and they installed a pacemaker. After ten days they took me off the vent, continued dialysis, and rehab started. After another two weeks my kidneys started up again and after a total of two months and relearning how to walk, chew, and care for my own personal hygiene I was released with a walker to come home from California to Wisconsin.

I walk with a cane now and four years later I am back to driving, teaching RCIA, cooking for my wife and I, and working with Scouts. I had retired at 65 a couple of years before the attack.
Now if my body had not started to turn around, they would have shut off the vent and let me go. If I had had a further heart attack while on the vent, or if my liver had not restarted, I am sure they would have not resuscitated. That would have been appropriate and the moral thing to do.
 
Might be worth checking if that’s the case everywhere, because where I live that is not the case. Regardless of the patients wishs the medical staff will decide if they are going to resus or not. I have seen it myself - DNR - or NFR - on patients charts, and this was most clearly NOT the wish of the family or patient, but the medics, knowing the likelyhood of survival, or the resulantant damage upon a further stroke, heart attack etc, took a clinical decision not to resusitate regardless. This decision is communicated to the family, with great empathy, but the familys view changes nothing.
Two years ago I was involved with the admission of someone I was looking after; the hospital staff were fantastic, but two days later, following deterioration, I got a call to go to the hospital, and it was explained to me that they make the guy comfortable, manage his pain etc, but they would not resusitate him; myslef and his aunt had no say in the matter. A clinical decision had been made and that was that. 3 days later he passed away.
DNR is a medical decision made on clinical grounds. If someone is old and frail, and suffering a condition that will almost certainly lead to their eventual and painful death anyway, not resucitating is the medically appropriate thing to do. There is a Church document on this (it was referenced in a recent thread on here about providing food and hydration for ‘vegetative’ patients) that says that invasive treatment is not always morally appropriate. We have a duty of care to living people, but that duty also extends to a good death in the time God decides, which means no to euthanasia, but also no to excessive treatment to prolong the dying process.

Being resucitated is a painful and traumatic process, in a frail and elderly patient the chest massage will often break the patient’s ribs, the defibrilators leave burn marks and can lead to seizures, it’s a rushed, panicked, horrible way to die (and many weak and ill patients do die despite best efforts). I know people who have worked in intensive care units, and they often say that a patient who dies naturally with their friends and family around them, after doctors agree that nothing more will be done, died ‘the right way’. Dying on the resucitation table with 5 or 6 medics rushing around, tubes stuck down their neck, broken ribs, and scarred chest tissue from excessive electrical shocking is not the right way to go.
 
DNR is a medical decision made on clinical grounds. If someone is old and frail, and suffering a condition that will almost certainly lead to their eventual and painful death anyway, not resucitating is the medically appropriate thing to do. .
Correct - that’s what I said. But I also found it a bit scarey talking to a guy who’s an emergency medic and told me a story about one night when he was part of the crash team, they got two simultaneous calls about 3am, he took the details while running with the team, and based on what was said over the phone, decided to go left instead of right at the end of the corridor. The guy they treated lived, made a full recovery, the guy they left, didnt.

I’d hate to have that level of life or death responsibility.
 
Correct - that’s what I said. But I also found it a bit scarey talking to a guy who’s an emergency medic and told me a story about one night when he was part of the crash team, they got two simultaneous calls about 3am, he took the details while running with the team, and based on what was said over the phone, decided to go left instead of right at the end of the corridor. The guy they treated lived, made a full recovery, the guy they left, didnt.

I’d hate to have that level of life or death responsibility.
This is one of the difficult decisions made by EMTs. Triage was developed as a way to sort war casualties. The idea was to save as many people as possible in as short of an amount of time as possible. There is specific criteria that is followed; the walking wounded can wait while the most critical are allowed to die. I realize this is taking the discussion slightly off topic. It is the reason I support a constitutional amendment in which “every reasonable effort” is made to “protect the life and dignity of the individual from the moment of conception.”
 
While as Christians we are not to seek death, nowhere in Scripture is a dying person instructed to do every conceivable thing to prolong an inevitable process. The Roman Catholic Church, along with many conservative Protestant Evangelical scholars and clinical medical ethicists, affirm the right of a dying person to forego treatments that are truly futile, only prolong one’s death, or impose significant pain and suffering in exchange for little assistance. The difficult part, at times, is knowing how futile treatments really are, how much benefit might be expected from a given treatment, and how much pain and suffering might result from pursuing further treatment. These questions seldom have clear answers and must be weighed and discussed with the treatment team, one’s extended support network, and, hopefully, with one’s pastor.
 
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