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This document outlines an individual's request to not be resuscitated in the event of cardiac or respiratory failure, along with the necessary signatures and attestations.
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How to fill out do-not-resuscitate order
How to fill out Do-Not-Resuscitate Order
01
Obtain a Do-Not-Resuscitate (DNR) Order form from your healthcare provider or hospital.
02
Fill out your personal information, including your name, date of birth, and any other identification details required.
03
Clearly indicate your wish to have a DNR order by checking the appropriate box or writing a statement.
04
Include the name of your healthcare provider and any relevant medical conditions, if necessary.
05
Sign and date the form in the designated areas.
06
Have the form witnessed or signed by a designated healthcare professional, if required by your jurisdiction.
07
Provide copies of the signed DNR order to your healthcare provider, family members, and keep a copy for your records.
Who needs Do-Not-Resuscitate Order?
01
Individuals with terminal illnesses who wish to avoid resuscitation efforts.
02
Patients with severe, chronic health conditions where resuscitation would not improve quality of life.
03
Elderly individuals with significant health issues who may not benefit from aggressive resuscitation.
04
Persons who have discussed their end-of-life care preferences with their family and healthcare providers.
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What is Do-Not-Resuscitate Order?
A Do-Not-Resuscitate Order (DNR) is a legal document that instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) in the event a patient's heart stops beating or they stop breathing.
Who is required to file Do-Not-Resuscitate Order?
Typically, a DNR order must be filed by a patient or their legally authorized representative, often in consultation with medical personnel.
How to fill out Do-Not-Resuscitate Order?
To fill out a DNR order, one must obtain the appropriate form from a healthcare provider, complete it with required information such as patient details and signatures, and then submit it to the healthcare facility or carry it with them.
What is the purpose of Do-Not-Resuscitate Order?
The purpose of a DNR order is to respect the patient's wishes regarding end-of-life care, ensuring that they are not subjected to unwanted resuscitation efforts should they experience cardiac or respiratory arrest.
What information must be reported on Do-Not-Resuscitate Order?
A DNR order must include the patient's name, date of birth, signature of the patient or legal representative, the date the order was signed, and often a physician's signature to validate the order.
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