What should be confirmed with a terminal client who has a DNR order upon transfer to the ICU?

It is essential to confirm the current resuscitation wishes of the client and family when transferring a terminal client with a Do Not Resuscitate (DNR) order to the Intensive Care Unit (ICU). This action is vital for several reasons:

First, the healthcare team must ensure clarity regarding the patient's wishes concerning resuscitation, which may still be a sensitive and emotional topic for the family. Ensuring that everyone is on the same page helps mitigate any potential conflict or confusion about the DNR status and the client’s preferences regarding end-of-life interventions.

Second, circumstances can change, and the decision-making process involves the evolving relationship between the patient, their healthcare providers, and family members. It’s essential to communicate and verify current wishes, as the client may have had discussions with family members that could alter prior decisions. The ICU can provide different levels of care than a general ward, and confirming intentions allows for an ethical and respectful approach to care transitions.

While other considerations such as the exact location of family members, the client’s medical history, or the documentation of the DNR order have their importance, verifying the current resuscitation preferences takes precedence in this context. This ensures that the care provided aligns with the client’s values and wishes,