When fear and consent become tangled
I have seen families believe a DNACPR conversation meant treatment was stopping, or that they were being asked to decide whether someone lived or died. That fear can completely change how a conversation is heard.
Sometimes the most important work is not adding more facts. It is clarifying what the decision actually is — and what it is not. CPR, treatment, escalation, comfort care and dignity can all be part of the same conversation, but they are not the same thing.