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Sec. 19a580d page 1(600)Department of Public Health TABLE OF CONTENTSRecognition and Transfer of Do Not Resuscitate Orders Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

How to fill out do not resuscitate

How to Fill Out Do Not Resuscitate:

1. Obtain the Do Not Resuscitate (DNR) form: Contact your healthcare provider or hospital to obtain the appropriate DNR form. This form may vary depending on your location.
2. Read and understand the form: Take the time to carefully read and understand the information provided on the DNR form. It is important to comprehend the implications and consequences of signing this document.
3. Consult with your healthcare provider: If you have any questions or concerns regarding the DNR form, it is advisable to consult with your healthcare provider. They can provide you with necessary information tailored to your specific situation.
4. Discuss your wishes with your loved ones: It is crucial to communicate your wishes regarding resuscitation with your family or loved ones. They should be aware of your decision and can act as advocates for you if the need arises.
5. Complete the DNR form accurately: Fill out the DNR form accurately and legibly. Provide all the required personal information, such as your name, date of birth, and contact details.
6. Indicate your preferences: On the DNR form, specify your preferences regarding resuscitation. This may include whether you want CPR (cardiopulmonary resuscitation), intubation, or other life-sustaining treatments.
7. Date and sign the form: Ensure that you date and sign the DNR form in the appropriate spaces provided. This signature verifies that you have made an informed decision and are aware of the implications.

Who Needs a Do Not Resuscitate (DNR) Order:

1. Patients with terminal illnesses: Individuals who are diagnosed with terminal illnesses and have a limited life expectancy may consider a DNR order. This allows them to have control over their end-of-life care and avoid unwanted resuscitation attempts.
2. Elderly individuals with chronic or debilitating conditions: Older adults who suffer from chronic illnesses, such as advanced dementia or end-stage organ failure, may choose a DNR order to ensure they are not subjected to unnecessary aggressive measures in the event of cardiac arrest.
3. Those with irreversible medical conditions: Individuals with irreversible medical conditions, where resuscitation would not result in a satisfactory quality of life, may opt for a DNR order. This might include patients in a vegetative state or with severe brain damage.
4. Individuals with advanced healthcare directives: Individuals who have prepared advanced healthcare directives or living wills that explicitly state their preference for a DNR order in certain circumstances should be provided with this option.
5. Patients at the end stages of life: Those who are nearing the end stages of life, experiencing significant pain or suffering, may decide to have a DNR order in place to focus on palliative care and comfort measures rather than invasive interventions.

Remember, the decision to have a DNR order is deeply personal and should be made after careful consideration and consultation with your healthcare provider and loved ones.

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What is do not resuscitate?

Do not resuscitate (DNR) is a medical order indicating that a patient does not want CPR or other life-saving measures to be performed if their heart stops or they stop breathing.

Who is required to file do not resuscitate?

A do not resuscitate order is typically discussed and decided upon by the patient, their family members, and the healthcare team.

How to fill out do not resuscitate?

A do not resuscitate form can be filled out by the patient or their designated healthcare proxy, and should be signed by a physician.

What is the purpose of do not resuscitate?

The purpose of a do not resuscitate order is to respect the patient's wishes regarding end-of-life care and to avoid unnecessary medical interventions.

What information must be reported on do not resuscitate?

A do not resuscitate order should include the patient's name, date of birth, the reason for the DNR request, and the signatures of the patient, their physician, and witnesses if required.