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OutOfHospital
Do Not
Resuscitate
(DNR)
North
Carolina
Document
Name:Do Not Resuscitate Comfort Care Order
OR
Do Not Resuscitate Comfort Care Rearrest
Underwear do
you get the
form:A physician. A certified
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How to fill out do not resuscitate comfort

How to fill out a do not resuscitate comfort:
01
Understand the purpose: Before filling out a do not resuscitate (DNR) comfort form, it is important to understand its purpose. A DNR comfort form is a legal document that indicates the individual's preferences regarding resuscitative measures in the event of a medical emergency. It is typically used for individuals who have a terminal illness or suffer from a chronic condition and wish to decline certain life-saving interventions.
02
Consult healthcare professionals: It is crucial to consult with healthcare professionals, such as doctors or nurses, when considering a DNR comfort form. They can provide the necessary information and guidance to help you make an informed decision. Discuss your medical conditions, prognosis, and potential outcomes to have a better understanding of the implications.
03
Obtain the form: Contact your healthcare provider or local hospital to acquire the appropriate DNR comfort form. They will be able to provide you with the necessary paperwork and explain any specific requirements or guidelines that need to be followed while filling it out.
04
Provide personal information: The DNR comfort form will ask for personal information, such as your name, date of birth, address, and contact details. Fill out these sections accurately to ensure proper identification.
05
Identify healthcare proxy or power of attorney: If you have appointed a healthcare proxy or have a power of attorney for healthcare decisions, mention their name and contact information in the designated section. This person will be responsible for advocating for your medical wishes in case you are unable to communicate.
06
Specify treatment preferences: The DNR comfort form will typically include a section where you can specify your treatment preferences. This may include your decision regarding cardiopulmonary resuscitation (CPR), intubation, mechanical ventilation, defibrillation, and other life-saving interventions. Indicate whether you want these measures to be performed or withheld.
07
Review and sign the form: Carefully review all the information provided in the form to ensure accuracy and clarity. If you have any questions or concerns, consult a healthcare professional or legal advisor. Once satisfied, sign and date the form in the designated area, acknowledging your understanding and consent.
Who needs a do not resuscitate comfort?
01
Individuals with terminal illnesses: Those diagnosed with a terminal illness, where a cure is no longer possible, may consider a DNR comfort form. These individuals may choose to focus on comfort care rather than undergoing life-saving interventions that may prolong suffering without improving their quality of life.
02
Patients with chronic conditions: Individuals suffering from chronic conditions, such as advanced heart failure, advanced lung disease, or end-stage renal disease, may opt for a DNR comfort form. These conditions often have poor prognoses, and patients may wish to avoid aggressive life-saving measures that may not significantly improve their condition.
03
Elderly individuals with multiple comorbidities: Aging individuals with multiple medical conditions may also consider a DNR comfort form. These individuals may prioritize maintaining their dignity, pain management, and focus on comfort rather than undergoing invasive resuscitative interventions.
It is important to note that the decision to fill out a DNR comfort form is highly personal and should be made after careful consideration, discussions with healthcare professionals, and in some cases, family members or loved ones.
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What is do not resuscitate comfort?
Do not resuscitate comfort is a legal document that specifies a person's wish to not receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest.
Who is required to file do not resuscitate comfort?
A person who wishes to have a do not resuscitate comfort order must discuss it with their healthcare provider and have it signed by a physician.
How to fill out do not resuscitate comfort?
To fill out a do not resuscitate comfort form, one must consult with their healthcare provider to understand the implications and have it signed by a physician.
What is the purpose of do not resuscitate comfort?
The purpose of a do not resuscitate comfort order is to ensure that a person's wishes regarding CPR are respected in the event of a medical emergency.
What information must be reported on do not resuscitate comfort?
A do not resuscitate comfort order must include the patient's name, the physician's signature, and the date it was signed.
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