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^^
Sounds like it's time to have them revisit the plan, either change it or reaffirm it.
The policy at the elder care place where my parents were was to ignore DNR orders. They weren't going to be the ones to pull the plug. Residents would stop breathing, be resuscitated by the staff nurse, get taken to the ER, where they have to treat them, DNR orders or not. So an advance directive isn't worth a whole lot in emergency situations - at least in Ohio.
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