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Do Not Attempt Resuscitation (DEAR) Decisions in the Perioperative PeriodPublished by The Association of Anesthetists of Great Britain and Ireland 21 Portland Place, London, W1B 1PY Telephone 020
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How to fill out do not attempt resuscitation

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How to fill out do not attempt resuscitation:

01
Understand the purpose: Before filling out a do not attempt resuscitation (DNAR) form, it is important to understand its purpose. A DNAR form is a legal document that states an individual's preference regarding resuscitation efforts in the event of cardiac arrest or other life-threatening situations.
02
Consult with medical professionals: It is advisable to consult with healthcare professionals, such as doctors, nurses, or palliative care specialists, when considering the decision to fill out a DNAR form. They can provide valuable insights, answer any questions or concerns, and help make an informed decision.
03
Discuss with the patient and loved ones: If the DNAR decision is being made for oneself, it is crucial to have an honest and open conversation with loved ones about the decision-making process. It is important to ensure that everyone understands the individual's wishes and respects their autonomy. If the decision is being made for someone else, such as a family member or patient under your care, it is crucial to have their consent and involve them in the process as much as possible.
04
Obtain the appropriate form: Contact the relevant healthcare institution or organization to obtain the correct DNAR form. Different regions or healthcare systems may have slightly different forms or protocols, so it is important to use the correct one that adheres to local regulations.
05
Complete the form accurately: Take your time to carefully complete the DNAR form. Include all necessary personal and medical information, such as full name, date of birth, and any relevant medical conditions. Additionally, clearly state the individual's preference regarding resuscitation, making their choice known. If there are any specific instructions or requests, ensure they are clearly written down.

Who needs do not attempt resuscitation?

01
Terminally ill patients: Individuals with terminal conditions who may not benefit from resuscitation efforts may opt for a DNAR order. This could include patients with advanced cancer, end-stage organ failure, or severe neurological conditions.
02
Elderly patients with multiple comorbidities: Older adults with complex medical conditions and a limited life expectancy may also choose to have a DNAR order. This decision is often made after considering the risks and benefits of resuscitation in their specific circumstances.
03
Patients with irreversible brain damage: Individuals who have sustained severe brain injuries, resulting in irreversible damage, may choose not to undergo resuscitation efforts. In such cases, the focus may shift towards providing comfort care rather than aggressive life-saving measures.
Note: The decision to have a DNAR order should be made on an individual basis, considering the person's values, preferences, and medical circumstances. It is always recommended to involve medical professionals and have open discussions with the patient or their loved ones before making this important decision.
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Do not attempt resuscitation (DNAR) is a medical order that instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest.
Only a competent adult patient or their legal healthcare proxy can request and file a do not attempt resuscitation order.
A healthcare provider will discuss the patient's medical condition and treatment options, and the patient or legal healthcare proxy can then express their wishes regarding resuscitation.
The purpose of a do not attempt resuscitation order is to ensure that a patient's end-of-life wishes are respected and to avoid unnecessary and potentially harmful resuscitation attempts.
A do not attempt resuscitation order should include the patient's name, date of birth, medical condition, the reasons for the decision, and the signature of the patient or legal healthcare proxy.
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