Understanding Advance Directives: DNR Implications

A 72-year-old patient is admitted to the hospital with advanced heart failure. Prior to admission, the patient completed an advance directive indicating a desire for limited resuscitative efforts, specifically requesting a Do Not Resuscitate (DNR) status. The nurse is reviewing the advance directive with the healthcare team to ensure that the patient's wishes are respected and followed during hospitalization.

When assisting in developing a plan of care that aligns with the patient's advance directive, the nurse should fill in the blank with the most appropriate statement: 'The advance directive explicitly states that the patient does not wish for any attempts at ___________ if his heart stops or if he stops breathing.'