DNR is an acronym that stands for Do Not Resuscitate. DNR means do not attempt to use cardiopulmonary resuscitation (CPR) at the time of patient’s death. Sometimes a DNR order carries other meanings. For example, prior to patient death, DNR might mean “Do not transfer to ICU” or “Do not intubate” or “Do not use aggressive life-saving measures.” In some cases DNR means “comfort measures only.” Some hospitals have shifted from DNR to AND which stands for Allow Natural Death. It is critical that the nurse understand the treatment goals associated with the individual patient’s DNR or AND order. Some patients with DNR orders will get full, aggressive treatment of potentially reversible illnesses or complications but no CPR if they die in spite of treatment. For other patients with DNR orders, the goal is to focus on comfort. The nursing care prior to death of a patient with DNR orders will be dependent on the treatment goals. Collaboration with the patient’s physician is an essential component for clarification of the patient’s treatment goals with DNR. Clear documentation of the treatment goals is essential so that all clinical staff understand the treatment plan.