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B. Declaring means a person who has executed a do-not-resuscitate order, ... C. Do-not-resuscitate order means a document executed under Public Act 193 ...

How to fill out 5-9 do not resuscitate

How to fill out a 5-9 Do Not Resuscitate (DNR) form:

1. Obtain the form: The first step is to acquire a copy of the 5-9 DNR form. You can usually get it from a healthcare provider or a local hospital. It may also be available online on official medical websites.
2. Read the instructions: Carefully read the instructions provided with the form. Make sure you understand the purpose of the DNR order and the implications it carries. If you have any questions, consult a healthcare professional for clarification.
3. Fill in personal information: Start by entering your personal details in the designated fields on the form. This typically includes your full name, date of birth, gender, address, and contact information. Ensure that all information is accurate and up to date.
4. Specify healthcare preferences: The next section of the form usually asks you to provide specific instructions regarding your healthcare preferences. This may include your wishes regarding resuscitation, intubation, and other life-sustaining interventions. Familiarize yourself with these terms and indicate your choices accordingly.
5. Appoint a healthcare proxy: If desired, you can designate someone as your healthcare proxy. This individual will be authorized to make medical decisions on your behalf if you are unable to do so. Provide their full name, contact information, and any additional details required.
6. Signature and witnesses: Ensure that you sign the form in the appropriate section and that the date is included. Depending on local regulations, you may also need to have witnesses sign the form to verify its authenticity. Follow the instructions carefully regarding the number of witnesses required and whether they need to be unrelated to you.
7. Review and store the form: Before finalizing the DNR form, review all the information you have provided to ensure its accuracy. Keep a copy of the completed form for yourself, and distribute additional copies to your healthcare provider, family members, and anyone else involved in your healthcare.

Who needs a 5-9 Do Not Resuscitate (DNR)?

1. Individuals with terminal illness: A DNR order is commonly used by individuals with a terminal illness who do not wish to undergo aggressive resuscitation measures at the end of life. It allows them to have a natural death without unnecessary medical interventions.
2. Elderly individuals with advanced care planning: Older adults may choose to have a 5-9 DNR form as part of their advanced care planning. This ensures that their end-of-life wishes are documented and respected. It provides them with control over their medical treatment decisions.
3. Those facing serious health conditions: People facing severe health conditions such as advanced cancer, end-stage organ failure, or chronic illnesses may opt for a DNR. It allows them to decline resuscitation attempts if their heart stops or if they stop breathing.

Remember, it is crucial to consult with a healthcare professional before filling out a DNR form to fully understand its implications and how it aligns with your personal beliefs and preferences.

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What is 5-9 do not resuscitate?

5-9 do not resuscitate refers to a form that indicates a patient's wish to not receive cardiopulmonary resuscitation (CPR) in case their heart stops or they stop breathing.

Who is required to file 5-9 do not resuscitate?

A physician, with the consent of the patient or their legal representative, is required to fill out and file the 5-9 do not resuscitate form.

How to fill out 5-9 do not resuscitate?

The physician must discuss the option of do not resuscitate with the patient or their legal representative, and if they agree, the form must be completed and signed by the physician.

What is the purpose of 5-9 do not resuscitate?

The purpose of 5-9 do not resuscitate is to respect the patient's wishes regarding end-of-life care and avoid unnecessary medical interventions.

What information must be reported on 5-9 do not resuscitate?

The 5-9 do not resuscitate form must include the patient's name, the physician's signature, the date the form was signed, and any specific instructions regarding the patient's end-of-life care.