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This document is a formal directive that indicates the patient\'s wish to limit emergency medical care, specifically refusing cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. It outlines the understanding of the patient regarding the procedures being declined, the possibility of revocation, and the necessity to inform relevant healthcare providers.
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How to fill out do not resuscitate directive
How to fill out do not resuscitate directive
01
Obtain a do not resuscitate (DNR) form from your healthcare provider or a legal resource.
02
Read the instructions carefully to understand the implications of the DNR directive.
03
Fill in your personal information, including name, date of birth, and any relevant medical history.
04
Indicate your wishes regarding resuscitation clearly, specifying if you do not want CPR or other life-saving measures.
05
Sign and date the form, and have it witnessed or notarized if required by your state laws.
06
Discuss your decisions with your healthcare team and family members to ensure everyone understands your wishes.
07
Keep a copy of the completed DNR directive in a visible place and provide copies to your healthcare provider and family members.
Who needs do not resuscitate directive?
01
Individuals with terminal illnesses who wish to avoid prolonging life through resuscitation.
02
Patients with severe, chronic health conditions where resuscitation may not improve quality of life.
03
Elderly individuals who may face end-of-life decisions and want to express their preferences.
04
People undergoing palliative care who prioritize comfort over aggressive medical interventions.
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What is do not resuscitate directive?
A do not resuscitate (DNR) directive is a legal document that states a person's wishes not to receive cardiopulmonary resuscitation (CPR) or other life-saving measures in the event of cardiac or respiratory arrest.
Who is required to file do not resuscitate directive?
Typically, the individual who wishes to have a DNR directive, or their legal representative, is required to file the directive with their healthcare provider or facility.
How to fill out do not resuscitate directive?
To fill out a DNR directive, a person usually needs to complete a specific form provided by a healthcare facility or organization, include their personal information, sign the document, and have it witnessed or notarized as required by state laws.
What is the purpose of do not resuscitate directive?
The purpose of a DNR directive is to ensure that a person's wishes regarding resuscitation efforts are respected during medical emergencies, especially if they are unable to communicate their preferences.
What information must be reported on do not resuscitate directive?
A DNR directive must generally include the patient's name, date of birth, medical record number, signature, date of signing, and may also require the signature of a witness or a healthcare professional.
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