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Frank Gallagher (William H. Macy) is dealing with alcoholic dementia. The title "DNR" (Do Not Resuscitate) refers to the family's conflict over his end-of-life care and his own confusing attempts to navigate his final days. Macy) is dealing with alcoholic dementia

Lip struggles with the decision to sell the family home, a move that causes deep friction among the siblings who have spent their entire lives in that house.

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In this episode, the long-running series begins to head toward its conclusion. The primary themes involve the Gallagher family grappling with the reality of their father’s declining health and their own shifting futures.