A DNR order may be written any time that two of the following clinical criteria are present and the prognosis has become clear for and shared whenever possible between physician(s), patient, and family (or appropriate surrogate).
neurology
Diagnostic Criteria for Parkinson’s Disease (PD)
United Kingdom Parkinson’s Disease Society Brain Bank Diagnostic Criteria for Parkinson’s Disease
Step 1: Diagnosis of Parkinsonism
Bradykinesia and at least one of the following:
Diagnostic Criteria of Paraneoplastic Neurological Disorder (PND) of the CNS
Definite PND
- Classic syndrome with cancer diagnosed within 5 years of neurological symptom development
- Nonclassic syndrome that resolves or significantly improves after cancer treatment
- Nonclassic syndrome with cancer diagnosed within 5 years of neurological symptom development and positive antineuronal antibodies
- Neurological syndrome (classic or not) without cancer and with well-characterized antineuronal antibodies
ICHD-II Diagnostic Criteria for Classical Trigeminal Neuralgia
Classical trigeminal neuralgia
A. Paroxysmal attacks of pain lasting from a fraction of a second to 2 minutes, affecting one or more divisions of the trigeminal nerve and fulfilling criteria B-C
B. Pain has at least 1 of the following characteristics:
Diagnostic Criteria for Myasthenia Gravis
Neuromuscular transmission disorder characterized by fluctuating weakness and fatigability of bulbar and other voluntary muscles without loss of reflexes or impairment of sensation or other neurologic function.
ICHD-II Diagnostic Criteria for Migraine
Migraine without aura
A. At least 5 attacks fulfilling criteria B-D
B. Headache attacks lasting 4-72 hours (untreated or unsuccessfully treated)
C. Headache has at least 2 of the following characteristics:
Diagnostic Criteria for Meniere’s Disease
Meniere´s disease is defined as recurrent, spontaneous episodic vertigo, hearing loss, aural fullness and tinnitus. Recurrent endolymphatic hypertension (hydrops) is believed to cause the episodes.
According to the guidelines from AAO-HNS Committee of Hearing and Equilibrium the three major symptoms are described as follows:
Diagnostic Criteria and Associated Features of Restless Legs Syndrome (RLS)
Restless legs syndrome (RLS), also called Willis-Ekbom Disease, causes unpleasant or uncomfortable sensations in the legs and an irresistible urge to move them.
ICSD Revised Classification of Adult Insomnia
Primary Insomnia
- Idiopathic insomnia: Insomnia arising in infancy or childhood with a persistent, unremitting course
- Psychophysiologic insomnia: Insomnia due to a maladaptive conditioned response in which the patient learns to associate the bed environment with heightened arousal rather than sleep; onset often associated with an event causing acute insomnia, with the sleep disturbance persisting despite resolution of the precipitating factor
- Paradoxical insomnia (sleep-state misperception): Insomnia characterized by a marked mismatch between the patient’s description of sleep duration and objective polysomnographic findings
ICHD-II Diagnostic Criteria for Headache Attributed to Head and/or Neck Trauma
Acute post-traumatic headache attributed to moderate or severe head injury
A. Headache, no typical characteristics known, fulfilling criteria C and D
B. Head trauma with at least one of the following: