Mr. H is a 24-year-old man who resides in a skilled nursing facility,
where he is undergoing rehabilitation from a cervical spine injury.
The injury left him quadriplegic. He has normal cognitive function
and no problems with respiration. He is admitted to your service for
treatment of pneumonia. The resident suggests antibiotics, chest
physiotherapy, and hydration. One day while signing out Mr. H to the
cross covering intern, the intern says "he should be a DNR, based on
medical futility."
How would you respond to the intern?