"In the seven-minute clip, a 911 dispatcher can be heard pleading with the nurse to save the life of an elderly woman by giving her CPR, but the nurse said it was against the facility's policy.
BAKERSFIELD, Calif. — A nurse's refusal to give CPR to a dying 87-year-old woman at a California independent living home despite desperate pleas from a 911 dispatcher has prompted outrage and spawned a criminal investigation.
If you have ever heard about a cardiopulmonary resuscitation (CPR) event on a 80-something frail woman, you will know how awful it is. If you understand what no DNR order means, you would know what this means when a senior goes into a complex with a clear policy of DNR orders it means: RESPECT for this senior. This is the difference between a retirement home and a long-term care.
It is worse to die in an ER, read these true explanations: How Mr. Jones Died, or Dead Alive Dead [Updated].
My bog buddy, an ER nurse writes in: Full Code
Full code means, if a patient has a cardiac or respiratory arrest, we are ethically and legally obliged to perform life-saving measures. We go full tilt. Rib cracking compressions, intubation, defibrillation, various push medications and infusions to prolong life, in this case, for a few hours or days.
She recognized no one and spoke not at all. She had decubitus ulcers over each hip, deep and foul, eating into the underlying tissue; she could not lay on her back: the contractures from her strokes had pushed her frail legs up to her chest. ... She was incontinent of stool and urine, and when the ambulance off-loaded her onto the emergency stretcher, her adult brief was heavy and soaked.
In short: she was demented, stroked, hopelessly contracted, ulcerated (and along with any number of nontrivial comorbidities, like coronary artery disease and diabetes) — a patient with objectively no quality of life from a nursing home notorious for providing poor patient care.
This is the reason to have Advance Care Directives. If you don't want to die in an ER, if you want dignity, Advance Care Planning in Canada (a guide) gives strict orders about your care. This doesn't mean you are not comfortable. It means you die in a bed you are familiar with, with caring professionals around you.
A sound mind in a sound body, is a short but full description of a happy state in this world.
-John Locke, philosopher (1632-1704)