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DO NOT RESUSCITATE ORDER PATIENTS NAME: I have discussed my health status with my physician. I request that in the event my heart and breathing should stop, no person shall attempt to resuscitate

How to fill out do not resuscitate order

How to fill out a do not resuscitate order:

1. Obtain the appropriate form: Contact your healthcare provider, hospital, or local medical authority to obtain the correct form for a do not resuscitate (DNR) order. They can provide you with the necessary paperwork or direct you to the proper resources.
2. Understand the purpose and implications: Before filling out the DNR order, make sure you fully understand its purpose and implications. Consult with your healthcare provider or physician to discuss the potential outcomes and the specific situations in which resuscitation would be withheld.
3. Complete the personal information: Start by providing your personal information on the form. This typically includes your full name, date of birth, address, and contact details. Ensure the information is accurate and up to date.
4. Specify the healthcare decision-maker: Indicate the person who will act as your healthcare decision-maker in case you are unable to communicate your wishes. This individual should be someone you trust and who understands your preferences regarding resuscitation.
5. Outline your resuscitation preferences: Clearly state your preferences regarding resuscitation on the form. Specify whether you want to receive resuscitative measures, such as cardiopulmonary resuscitation (CPR), intubation, or defibrillation, or if you wish for these measures to be withheld.
6. Sign and date the form: Once you have filled out the form, review it carefully to ensure accuracy. Sign and date the document in the appropriate sections. In some cases, the form may require witness signatures, so be sure to follow the instructions provided.

Who needs a do not resuscitate order?

1. Individuals with terminal illnesses: Patients diagnosed with a terminal illness may consider a DNR order as part of their end-of-life care planning. This allows them to have control over their medical treatment and avoid unnecessary resuscitation efforts if their condition deteriorates.
2. Those with advanced age or frail health: Older adults or individuals with frail health may choose to have a DNR order in place to avoid aggressive medical interventions that may not necessarily improve their overall quality of life.
3. Patients with incurable conditions: Individuals suffering from incurable conditions, such as advanced Alzheimer's disease or severe dementia, may opt for a DNR order to prevent futile resuscitation attempts.
4. Those with strong personal beliefs: Some individuals have personal or religious beliefs that align with forgoing resuscitative measures. They may choose to have a do not resuscitate order in accordance with their values and beliefs.

It is important to consult with a healthcare provider or physician to determine if a DNR order is appropriate for your specific situation. They can provide guidance based on your medical history, current health status, and personal preferences.

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What is do not resuscitate order?

A do not resuscitate order is a medical order that states a patient's wish to not receive cardiopulmonary resuscitation (CPR) in case their heart stops or they stop breathing.

Who is required to file do not resuscitate order?

A do not resuscitate order is typically filed by the patient's physician or healthcare provider in consultation with the patient and their family.

How to fill out do not resuscitate order?

To fill out a do not resuscitate order, the physician or healthcare provider must discuss the patient's wishes regarding CPR and ensure they understand the implications of choosing not to be resuscitated.

What is the purpose of do not resuscitate order?

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

What information must be reported on do not resuscitate order?

A do not resuscitate order must include the patient's name, the date the order was issued, the physician's signature, and any specific instructions regarding resuscitation preferences.