DNR Orders and Advance Directives: Integrating Medicine, Law, and Ethics
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Product ID: 18455
Institution: 
University of Iowa Roy J. and Lucille A. Carver College of Medicine

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Description of the product: 
This product is part of the GeriaFlix series at the University of Iowa. GeriaFlix are multidisciplinary presentations on topics in clinical geriatrics. Presented in a streaming digital video format with synchronized slides, each presentation lasts approximately 1 hour.

In this presentation, Dr. Kaldjian will explain the background and use of advance directives and "do not resuscitate" orders. He will discuss the limitations and benefits of advance directives, their legal requirements, and the need to emphasize the goal of care in end-of-life planning.

GeriaFlix presentations are available online, both to accredited medical education institutions for use with students, residents, and fellows. For more information about the GeriaFlix series, go to http://www.healthcare.uiowa.edu/igec/resources-educators-professionals/p.... GeriaFlix are also available to practicing physicians, physician assistants, nurses and nurse practitioners for CME or CEU credit. To receive continuing education credit, you must register for the Geriatric Lecture Series. For more information, go to http://www.healthcare.uiowa.edu/igec/e-learning/geriatric-lecture-series....
Educational objectives: 
This product is part of a series of digitized lectures devoted to topics in clinical geriatrics designed to teach important principles in the management of older persons. By using this lecture series, learners will be able to improve their overall knowledge about managing common geriatric syndromes; understand the unique health care needs of older patients, differences in the management of common clinical conditions, and how physiologic changes associated with aging impact management; develop a working knowledge of important legal and ethical issues associated with end-of-life care; and understand and apply principles of the multi-disciplinary geriatric assessment.

At the end of this lecture, learners should be able to:
  1. Understand the purpose of advance directives and DNR orders.
  2. Appreciate the limitations and benefits of advance directives.
  3. Understand the legal requirements that govern advance directives.
  4. Recognize the importance of establishing the goal of care in end-of-life discussions.
Describe any special implementation requirements or guidelines: 
Viewing GeriaFlix presentations requires a 256K or faster DSL connection, cable modem, LAN/Intranet connection, or other broadband connection. You will also need QuickTime Player 6 or later, either Internet Explorer 5 or above or Netscape 6 or above, and a sound card with speakers. Screen resolution should be set at 800 x 600 or higher.
Date posted: 
Fri, 08/21/2009
Date last updated: 
Fri, 08/21/2009
CME credits available: 
Yes
Do you or any of the authors have any significant financial interest or commercial support?: 
No
Has this product been peer reviewed?: 
No
Geriatrics topic areas: 
Discipline/specialty: 
ACGME competency checklist: 
Learning resource types: 
Contact person/corresponding author: 
Linda Seydel ([email protected])
Authors: 
Lauris Kaldjian
NLM Citation:
Kaldjian, L. DNR Orders and Advance Directives: Integrating Medicine, Law, and Ethics. POGOe - Portal of Geriatric Online Education; 2009. Available from: http://www.pogoe.org/productid/18455
APA Citation:
Kaldjian, L. (2009). DNR Orders and Advance Directives: Integrating Medicine, Law, and Ethics. POGOe - Portal of Geriatric Online Education. Retrieved June 05, 2010 from http://www.pogoe.org/productid/18455