What does AND stand for?

Allow natural death

‘AND’ is a term commonly used in the medical field. This abbreviation is similar to the term ‘DNR’ but is more favored among healthcare professionals. The reason for this preference is that it clearly communicates what action will be taken, rather than emphasizing what will not be done.

It is used to indicate the withholding of CPR or ACLS, but only in accordance with the desires of the patient. The main focus of ‘AND’ is to respect and uphold the patient’s wishes regarding their own healthcare decisions.

‘AND’ is a term that highlights the importance of patient autonomy in healthcare. It underscores the notion that patients should be allowed to have a say in their own medical treatment and interventions. It’s all about giving patients the right to choose what they want or don’t want during their treatment.

Example for using ‘AND’ in a conversation

Hey, did you hear about Jane’s grandma?

Yeah, I heard she’s not doing well.

Exactly. They had a discussion about her medical care wishes.

Oh, I see. What did Jane say?

She mentioned that her grandma has an ‘AND’ in place.

What’s that? I’ve never heard of it.

It stands for ‘Allow natural death’. It means if her grandma’s heart stops, they won’t do CPR.

Ah, I get it. So it’s like a DNR but with a different name?

Yeah, exactly. It’s preferred because it focuses on what is being done instead of what isn’t.