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DONOTRESUSCITATE ORDER 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 me. This order is
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How to fill out do -not -resuscitate order

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How to fill out do -not -resuscitate order

01
Step 1: Obtain a do-not-resuscitate (DNR) order form from a healthcare provider.
02
Step 2: Carefully read and understand the instructions on the form.
03
Step 3: Fill in your personal information, including your full name, date of birth, and contact information.
04
Step 4: Indicate your healthcare preferences by checking the appropriate boxes.
05
Step 5: Specify any additional instructions or wishes regarding your resuscitation preferences.
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Step 6: Sign and date the form, acknowledging that you understand the implications of a DNR order.
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Step 7: Discuss the completed form with your healthcare provider to ensure they have a copy on file.
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Step 8: Keep a copy of the signed DNR order form in a safe and easily accessible place.
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Step 9: Periodically review and update the DNR order as needed, especially if your preferences change or your health status evolves.

Who needs do -not -resuscitate order?

01
Individuals with serious or terminal illnesses who do not wish to receive resuscitation efforts in the event of cardiac or respiratory arrest.
02
Elderly individuals or those with chronic health conditions who have made an informed decision with their healthcare provider to forgo resuscitation.
03
Patients deemed medically unstable or at high risk for complications from resuscitative measures, as determined by their healthcare team.
04
Individuals with advanced directives, living wills, or other legal documents expressing their desire for a do-not-resuscitate order.
05
People who have discussed their end-of-life care preferences and have expressed a desire to die naturally without aggressive medical interventions.
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A do-not-resuscitate order is a medical order written by a doctor instructing health care providers not to perform cardiopulmonary resuscitation (CPR) if a patient's heart stops or if they stop breathing.
A doctor is required to file a do-not-resuscitate order after discussing the option with the patient or their healthcare proxy.
To fill out a do-not-resuscitate order, a doctor must document the decision in the patient's medical record and provide a copy of the order to the patient or their healthcare proxy.
The purpose of a do-not-resuscitate order is to respect the patient's wishes regarding end-of-life care and avoid unnecessary medical interventions.
A do-not-resuscitate order must include the patient's name, the physician's name, the date the order was written, and specific instructions regarding resuscitation.
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