A medical directive, commonly documented as “DNI,” communicates a patient’s wish to decline endotracheal intubation, a procedure involving the insertion of a tube into the trachea to facilitate mechanical ventilation. This decision is typically made by an individual, or their legal representative, in consultation with medical professionals, based on factors such as underlying medical conditions, prognosis, and personal values. For instance, a patient with advanced COPD might choose this option to avoid prolonged mechanical ventilation in the event of respiratory failure.
Respecting an individual’s autonomy is paramount in medical ethics, and advance directives like this one serve to honor their preferences regarding medical interventions. This approach can prevent unwanted or potentially futile medical procedures, aligning care with a patient’s specific goals and wishes. Historically, increased awareness of patient rights and the complexities of end-of-life care have contributed to the wider adoption and understanding of these crucial medical decisions.
