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Do Not Attempt Resuscitation Policy v 5.0Do Not Attempt Cardiopulmonary Resuscitation (DNA CPR) Policy Version 5.0 Lead executive Dr John Brampton, Executive Medical Directorate / title of author:Dr
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How to fill out do not attempt resuscitation

01
To fill out a do not attempt resuscitation (DNAR) form, follow these steps:
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Obtain the DNAR form: Contact your healthcare provider or hospital to obtain the appropriate DNAR form.
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Read and understand the contents: Familiarize yourself with the purpose and implications of a DNAR order.
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Consult with healthcare professionals: Discuss the DNAR decision with your healthcare team, including doctors and nurses, to fully understand the options and potential outcomes.
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Make an informed decision: Consider your personal beliefs, medical condition, prognosis, and quality of life when deciding whether to opt for a DNAR order.
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Complete the form: Fill out the DNAR form accurately, providing all necessary information about yourself, such as your name, date of birth, and medical history.
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Specify your wishes: Clearly indicate that you do not wish to receive cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
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Witness signatures: Have the form witnessed and signed by individuals who are not your family members and who are not involved in your healthcare, such as friends or legal professionals.
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File the form: Keep a copy of the completed DNAR form for yourself and provide copies to your healthcare team, including hospitals and primary care physicians.
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Note: DNAR forms may have slight variations in format and requirements based on your jurisdiction and healthcare provider. It is essential to follow the instructions provided by your healthcare team.

Who needs do not attempt resuscitation?

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Do not attempt resuscitation (DNAR) orders are typically intended for individuals in certain medical situations. The following groups of people may consider a DNAR order:
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- Individuals with a terminal illness or condition that has a very low chance of survival
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- Patients who have expressed a clear and informed desire to avoid life-prolonging measures
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- Those with advanced age or significant frailty who may not benefit from CPR
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- Individuals with specific medical conditions that make CPR ineffective or futile
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- Patients who have previously discussed and documented their preference for a DNAR order with their healthcare providers
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It is important to engage in open and honest conversations with healthcare professionals to determine if a DNAR order is appropriate for your specific situation.
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Do not attempt resuscitation (DNAR) is a medical order that instructs healthcare providers not to perform CPR or other life-saving measures in case of cardiac or respiratory arrest.
Do not attempt resuscitation orders are typically filed by a patient's physician in consultation with the patient or their legal representative.
Do not attempt resuscitation orders are usually filled out on a standardized form provided by the healthcare facility, signed by a physician, and added to the patient's medical records.
The purpose of a do not attempt resuscitation order is to honor a patient's wishes regarding end-of-life care and avoid unnecessary medical interventions.
A do not attempt resuscitation order typically includes the patient's name, the physician's signature, the date of the order, and specific instructions regarding resuscitation.
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