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Do Not Attempt Resuscitation (DEAR) and Provider Order for LifeSustaining Treatment (POST) Update on August 16th, 2016 Why? To simplify the management of Limited Resuscitation utilizing the EMR wherever
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How to fill out do not attempt resuscitation

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How to Fill Out Do Not Attempt Resuscitation (DNAR) Forms:

01
Start by reviewing the purpose and significance of a DNAR order. Understand that a DNAR order is a legal document that instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest.
02
Confirm that you, or the person you are assisting, have the legal authority to make decisions regarding medical treatment. This typically includes the patient themselves, a designated healthcare proxy, or a legally appointed guardian.
03
Consult with the patient's healthcare team, including their physician or primary care provider, to discuss whether a DNAR order is appropriate in their specific situation. This decision is usually based on the patient's medical condition, prognosis, and their wishes regarding end-of-life care.
04
Obtain the necessary DNAR form, which may vary depending on the country or healthcare facility. Ensure that the form is valid and recognized according to local laws and regulations.
05
Read and understand the instructions on the DNAR form. Familiarize yourself with the specific sections that require completion, such as personal information, signature, and witness signatures.
06
Provide accurate and up-to-date personal information of the patient, including their full name, date of birth, and contact information. This helps avoid any confusion or mix-ups with other patients.
07
Carefully consider the different options provided on the DNAR form. Typically, there are checkboxes or sections that allow you to specify the desired level of medical intervention in case of an emergency. These options may include full resuscitation, limited interventions, or comfort-focused care only.
08
If there are any additional instructions or preferences that the patient wants healthcare providers to know, ensure these are clearly stated on the form. This could include preferences for pain management, religious or cultural considerations, or specific healthcare directives.
09
Sign the DNAR form. Depending on the jurisdiction, the form may require the signature of the patient, their healthcare proxy, or both. Ensure that all necessary signatures are obtained and that the form is properly dated.
10
Arrange for witnesses to also sign the DNAR form, if required. Witnesses are typically individuals who are not directly involved in the patient's care and can provide impartial verification of the patient's intent and decision.

Who needs a DNAR:

01
Patients with a terminal illness or advanced progressive disease may consider a DNAR order as part of their end-of-life care planning. This allows them to have control over their medical treatment and avoid unnecessary interventions that may not align with their wishes or quality of life goals.
02
Patients who have previously expressed their desire to limit or refuse resuscitation efforts in the event of cardiac or respiratory arrest may opt for a DNAR order. This ensures their wishes are respected even if they are unable to communicate or make decisions at the time of the emergency.
03
It is important to involve the patient's healthcare team in determining whether a DNAR order is appropriate for their specific medical condition. The physician or primary care provider can provide guidance and help assess the potential benefits and risks of resuscitation attempts for the individual patient.
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Do not attempt resuscitation (DNAR) is a medical order instructing healthcare providers not to perform CPR if a patient's heart stops or if they stop breathing.
A patient, or their legal guardian if the patient is unable to decide, can request a DNAR order.
A DNAR form must be completed by a physician and signed by the patient or their legal guardian.
The purpose of a DNAR order is to honor the patient's wishes and prevent unwanted resuscitation efforts.
A DNAR form typically includes the patient's name, date of birth, physician's signature, and specific instructions regarding resuscitation.
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