In the context of healthcare, “DNI” commonly refers to a “Do Not Intubate” order. This is a legally binding directive instructing medical personnel not to perform endotracheal intubation if the individual’s respiration ceases or is severely compromised. An example of its application would be a patient with advanced chronic obstructive pulmonary disease (COPD) who, after careful consideration and consultation with their physician, chooses to decline intubation in the event of respiratory failure.
The significance of this order lies in respecting patient autonomy and allowing individuals to make informed decisions about their end-of-life care. It offers the benefit of avoiding potentially invasive and prolonged mechanical ventilation, which may not align with a patient’s wishes or overall prognosis. Historically, the development of such directives reflects a growing emphasis on patient-centered care and the right to refuse medical interventions.
