1. Discontinuing Treatment and not for Resuscitation.

2. What is treatment? A treatment is a medical care given to a patient when they are in a bad condition such as illness or injury.

3. The common reason people discontinue treatment Stopping a Medication Due to Side Effects Stopping a Medication Because of Primary Effects Stopping a medication due to fanatical difficulties

4. Enlighten people about discontinuing treatment. 1.Giving hand outs. 2.Make sure whether the patient can understand their disease. 3. encourage the patient.

5. Do Not Resuscitate Orders. A do not resuscitate order, or DNR, is a medical order written by a doctor. It instructs health care providers not to do cardiopulmonary resuscitation (CPR) if breathing stops or if the heart stops beating.

6. when CPR is judged to be of no medical benefit. when the patient with intact decision making capacity (or when lacking such capacity, someone designated to make decisions for them) clearly indicates that he / she does not want CPR, should the need arise. When can CPR be withheld?

7. DNR Protocols There are 2 types of protocols 1.Will suction the airway. 2. Will not suction the airway.

8. Types of DNR orders 1.DNR Comfort care. 2.DNA Comfort care- arrest. 3.DNA Specified.

9. Ethically acceptable of DNR Orders.

10. Slow codes.

11. Any questions ……?

12. Thank you………..