Palliative Care


Terminology used in Palliative and Health Care

DNR - Do Not Resuscitate (Also referred to as AND - Allow Natural Death) - A DNR or AND order is a physician's written order instructing healthcare providers not to attempt cardiopulmonary resuscitation (CPR) in a case of cardiac or respiratory arrest. A person with a valid DNR order will not be given CPR under these circumstances. Although the DNR order is written at the request of a person or his or her family, it must be signed by a physician to be valid. A non-hospital DNR order is to be written for individuals who are at home and do not want to receive CPR. 


Death Notification Guide

DNI - Do Not Intubate - Intubation refers to endotracheal intubation which is the insertion of a tube through the mouth or nose into the trachea (windpipe) to create and maintain an open airway to assist breathing.

CPR - Cardiopulmonary Resuscitation - CPR is a group of treatments used when someone's heart and/or breathing stops. CPR is used in an attempt to restart the heart and breathing. It may consist only of mouth-to-mouth breathing or it can include pressing on the chest to mimic the heart's function and cause blood to circulate. Electric shock and drugs are also used frequently to stimulate the heart.

What You Should Know About CPR and Advanced Care Planning

Advance Care Planning - What You Need to Know

Advance Directive - A general term that describes two kinds of legal documents, living wills and medical powers of attorney. These documents allow a person to give instructions about future medical care should he or she be unable to participate in medical decisions due to serious illness or incapacity. Each state regulates the use of advanced directives differently.

Advance Care Planning Resources

Surrogate Decision Making In Nebraska

Medical Power of Attorney - A document that allows an individual to appoint someone else to make decisions about his or her medical care if he or she is unable to communicate. This type of advance directive may also be called a healthcare proxy, durable power of attorney for healthcare, or appointment of a healthcare agent. The person appointed may be called a healthcare agent, surrogate, attorney-in-fact or proxy.

Health Care Power of Attorney - Nebraska Form

Power of Attorney - A legal document allowing one person to act in a legal matter on another's behalf regarding financial or real estate transactions.

Advance Care Planning /Hospital Policy Quiz

Living Will - A type of advance directive in which an individual documents his or her wishes about medical treatment should he or she be at end of life and unable to communicate. It may also be called a directive to physicians, healthcare declaration, or medical directive.

Living Will - Nebraska Form

Palliative Performance Scales and Predictor Tools

​Guideline for Estimating Length of Survival in Palliative Patients - PPS, PPI, PaP, Karnofsky ​

​​Palliative Performance Scale (PPS) and Karnofsky Performance Scale (KPS)

​​Karnofsky Performance Scale (KPS)

​Fast Facts and Concepts #125 The Palliative Performance Scale (PPS) 

​​Functional Assessment Staging of Dementia (FAST)

​​Functional Assessment Staging Scale (FAST) and Mortality Index for Dementia

​​Saint Louis University Mental Status Exam (SLUMS) for detecting Cognitive Impairment and Dementia

​​Prognosis and Mortality in COPD - BODE Index

​CRASH - Head Injury Prognosis Model - 14 Day and 6 Month Mortality​

​​Hemodialysis Mortality Predictor - Predicted 6, 12, 18-month survival rates for patients on Maintenance HD

​Charleston Comorbidity Scoring System - Estimating Prognosis for Dialysis Patients​

​Model for End-Stage Liver Disease (MELD) - 90 Day Mortality Predictor for Patients with Advanced Liver Disease​

Heart Failure - NYHA Functional Classification

​​Emergency Heart Failure Mortality Risk Grade (EHMRG) - 7 Day Mortality Predictor for Acute Heart Failure

​​Seattle Heart Failure Model Online Mortality Calculator

Prognostication in Heart Failure

​​ECOG/Zubrod Scale with Karnofsky and Lansky Equivalents

Karnofsky and Lansky Performance Status

​​Clarifying Diagnosis and Prognosis - Karnofsky, ECOG, PPI

MDCalc - An Online Repository of Medical Calculators Divided by Specialty and System​

Supportive and Palliative Care Indicators Tool (SPICT)