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DONOTRESUSCITATE ORDER Use the appropriate consent section below, A or B. A. DECLARING CONSENT I request that in the event my heart and breathing should stop, no person shall attempt to resuscitate
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How to fill out do-not-resuscitate order - miccsiorg

01
Obtain a do-not-resuscitate order form from a healthcare provider or hospital.
02
Read and understand the instructions on the form.
03
Fill out the personal information section, including your name, date of birth, and contact information.
04
Provide information about your primary healthcare provider, if applicable.
05
Consult with your healthcare provider or physician to ensure you understand the implications and consequences of a do-not-resuscitate order.
06
Consider discussing your decision with your family members or loved ones to ensure they are aware of your wishes.
07
Complete the treatment choices section, where you can specify your preferences regarding cardiopulmonary resuscitation (CPR) and other life-sustaining treatments.
08
Sign and date the form in the presence of witnesses, as required by local regulations or guidelines.
09
Make copies of the completed form and distribute them to your healthcare providers, family members, and anyone else involved in your medical care.
10
Keep a copy of the form easily accessible and inform your close contacts and healthcare providers about its location.

Who needs do-not-resuscitate order - miccsiorg?

01
Individuals who have a terminal illness and do not wish to receive cardiopulmonary resuscitation (CPR) or other life-sustaining treatments.
02
Those who have advanced directives in place and have clearly expressed their preferences for end-of-life care.
03
Patients who have a poor prognosis and have discussed their treatment options with their healthcare providers.
04
Older adults or individuals with chronic medical conditions who have made an informed decision to avoid aggressive resuscitation measures.
05
People who have experienced significant declines in their physical or mental health and wish to decline resuscitative efforts.
06
Anyone who wants to ensure their healthcare decisions align with their personal beliefs and values regarding end-of-life care.
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A Do-Not-Resuscitate order (DNR) is a legal document that specifies a patient's wish to not receive cardiopulmonary resuscitation (CPR) in case their heart stops or they stop breathing.
A do-not-resuscitate order can be filed by the patient themselves, their legal guardian, or their healthcare proxy.
The DNR order can typically be filled out with the assistance of a healthcare provider or physician. It requires the patient's signature or the signature of their legal guardian or healthcare proxy.
The purpose of a DNR order is to ensure that a patient's wishes regarding CPR and life-saving measures are respected in case of a medical emergency.
A DNR order typically includes the patient's name, signature, date, healthcare provider's signature, and any specific instructions or limitations regarding resuscitation.
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