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Get the free Do Not Resuscitate Comfort Care Directive - Delta Ambulance - deltaambulance

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Part 7Instructions to Emergency Medical Services (ambulance crews) about what to do if your heart or breathing stops. This section is optional. If you do not want the ambulance crews to revive you
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How to fill out do not resuscitate comfort

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How to fill out do not resuscitate comfort:

01
Gather the necessary forms: Begin by obtaining the official do not resuscitate (DNR) comfort form from your healthcare provider. This form is typically available from hospitals, nursing homes, or your physician's office.
02
Complete personal information: Fill in your full name, date of birth, and contact information on the form. This ensures that the DNR comfort document is specific to you and can be easily identified if needed.
03
Indicate your decision: Read the instructions carefully and mark the appropriate box(es) to indicate your decision regarding resuscitation. The options usually include "Comfort Measures Only" or "Do Not Resuscitate," among others.
04
Provide supporting signatures: If required, have the form signed by yourself and/or a legally designated representative. In some cases, a witness may also be needed to attest to your decision.
05
Discuss and share the form: Once the form is completed, make multiple copies and distribute them to relevant healthcare providers, such as your primary care physician, specialists, hospital, and nursing home if applicable. It's essential to ensure that your DNR comfort form is accessible in case of emergencies.
06
Review and update regularly: It is important to review your DNR comfort form periodically to ensure it reflects your current wishes. If there are any changes in your health or personal preferences, consult with your healthcare provider and update the form accordingly.

Who needs do not resuscitate comfort?

01
Individuals with terminal illnesses: Those who have been diagnosed with an incurable or advanced illness may choose do not resuscitate comfort as part of their end-of-life care, focusing on ensuring comfort rather than prolonging life through interventions.
02
Elderly individuals with multiple comorbidities: Many elderly individuals have various chronic conditions that may impact their quality of life in the event of a resuscitation attempt. They may choose a DNR comfort approach to avoid unnecessary suffering.
03
Patients with diminished cognitive capacity: For patients in advanced stages of conditions such as Alzheimer's disease or dementia, a DNR comfort form can ensure that their wishes are respected and prevent unnecessary distress in case of an emergency.
04
Individuals with advanced directives or living wills: Those who have previously expressed their preferences for end-of-life care through advanced directives or living wills may also choose a DNR comfort approach as part of their overall plan.
05
Those who desire a natural death: Some individuals have personal or religious beliefs that align with allowing a natural death process to occur. They may opt for a DNR comfort form to honor these beliefs.
Remember, it is crucial to consult with your healthcare provider and loved ones to make informed decisions and ensure that your preferences are accurately reflected in the do not resuscitate comfort form.
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Do not resuscitate comfort is a medical directive stating that a patient does not wish to receive cardiopulmonary resuscitation (CPR) in case their heart stops or they stop breathing.
A patient or their legal representative, in consultation with a healthcare provider, is required to file a do not resuscitate comfort directive.
To fill out a do not resuscitate comfort directive, the patient or their legal representative must discuss their wishes with a healthcare provider and complete the necessary forms.
The purpose of a do not resuscitate comfort directive is to ensure that a patient's wishes regarding resuscitation are respected in the event of a medical emergency.
A do not resuscitate comfort directive must include the patient's name, date of birth, signature, date of directive, and the signature of a healthcare provider.
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