United States Department of Veterans Affairs
VA Healthcare Network Upstate New York - VISN 2

Buffalo/Batavia VA Medical Center Significant Care Issues

Do Not Resuscitate (DNR)/Other Limitations of Treatment
Do Not Resuscitate (DNR) means cardiopulmonary resuscitation (CPR) and/or other heroic health or life saving measures will not be started when cardiac or respiratory arrest occurs. After talking with your provider, if you are able, you can make the DNR decision. If you are too ill to make that decision, your next of kin or health care proxy makes that decision with your provider. The DNR order is not permanent. It can be stopped if you change your mind and inform your provider. The health care team’s concern for your medical needs and comfort will stay the same. You will be given whatever is needed to relieve pain and make you comfortable. You will also have the option of limiting aggressive treatment short of CPR. Ethics Committee 
Sometimes patients or their caregivers have trouble making choices about what is best for their health care. Examples would be whether or not to perform heroic measures on a patient at the end of life, or if a terminally ill person should have a feeding tube. The Ethics Advisory Committee is a group of VA staff that meets to discuss these problems and make suggestions when the need arises. If you or your family have questions about the ethics of any treatment, or other issue, talk with your health care team. If you still have concerns, you may ask for a review of the issues by the Ethics Advisory Committee. To request this review, ask your health care team for a referral to the Ethics Advisory Committee. If you need to speak with a committee representative over the phone, the Medical Center operators will assist you. Buffalo: (716) 834-9200 and Batavia: (585) 297-1000 Advanced Illness/Coordinated Care Program 
Facing an illness that is advancing (not getting better and cannot be cured) can be very hard. You may have many questions about your illness and the choices you must make. A member of the Advanced Illness Coordinated Care Team can meet with you and your family to talk about your concerns. This program provides information, offers support and guidance, helps you with your choices, coordinates your care, works with your health care team, and helps you and your loved ones deal with issues of advanced illness. This team can help you sort out the details to give you choices, dignity, and peace of mind.

To request more information about this program, you may call (716) 862-8541 or 1-800-532-8387 ext. 8541. You may initiate this consultation or ask a member of the health care team to contact them for you. Organ, Eye, and Tissue Donation 
VA Western New York Healthcare System takes part in ongoing programs for organ, eye, and tissue donations. Contact a member of your health care team to inform them of your wish to be a potential donor. You will be asked to sign a Consent to Release Information specific to organ donation. Talk to your family members so they know your wishes. Even though you indicated your wishes in writing, your family will be asked to give consent before donation can occur.

Anatomical Gift Program
If you would like to donate your body for research, you need to contact the State University of New York at Buffalo at (716) 829-2912. A packet of information will be mailed to you. You must complete the forms and return them to the University of Buffalo. The person donating his/her body can only sign the forms. If you need assistance, contact your social worker or after administrative hours, contact the Health Administration Sections, Administrative Officer of the Day through the VA operator.