What is the difference between a DNR order and a DNRCC (comfort care only) order?

• A. DNR is for resuscitation; DNRCC indicates all aggressive measures are withheld and focus is on comfort.
• B. DNRCC is for never performing CPR, while DNR allows some aggressive measures.
• C. DNR means do not treat; DNRCC means do not resuscitate only.
• D. DNRCC is a temporary form; DNR is permanent.

Answer: (A)

In end-of-life care, the key difference is what happens when life-sustaining efforts are considered. A Do Not Resuscitate (DNR) order means that if the patient stops breathing or their heart stops, CPR and other resuscitation attempts should not be performed. It does not automatically stop other treatments; antibiotics, fluids, oxygen, and non-invasive care can still be provided if appropriate.

A Do Not Resuscitate with Comfort Care Only (DNRCC) expands that directive to focus on comfort as the priority. It indicates that no aggressive, invasive, or life-prolonging measures should be used, and care centers on relieving suffering—pain control, symptom management (like dyspnea or nausea), and supportive comfort measures. In short, DNR addresses resuscitation, while DNRCC combines that with a overall limitation of aggressive treatment in favor of comfort.

So, the difference is that a DNR handles resuscitation status, whereas a DNRCC signals withholding aggressive treatments entirely and prioritizing comfort.