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DO-NOT-RESUSCITATE DNR DO-NOT-RESUSCITATE DNR DO-NOT-RESUSCITATE DNR DO-NOT-RESUSCITATE DNR (Page 1 of 2) Illinois Department of Public Health UNIFORM DO-NOT-RESUSCITATE (DNR) ADVANCE DIRECTIVE Patient

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How to fill out a Do Not Resuscitate (DNR) order:

1. Talk to your healthcare provider or doctor: Before filling out a DNR form, it is essential to discuss your medical condition, prognosis, and treatment options with your healthcare provider or doctor. They can provide you with the necessary information and guide you through the process.
2. Understand the purpose of a DNR: A DNR order is a legal document that states your wish to not receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. It is important to fully comprehend the implications of this decision and consider it in light of your medical condition and personal beliefs.
3. Obtain the appropriate forms: DNR forms vary from state to state and may have specific requirements. You can typically obtain the necessary forms from your healthcare provider, local hospitals, or state health department websites. Make sure to use the correct form for your jurisdiction.
4. Complete the form accurately: Follow the instructions provided on the form carefully. You will typically be asked to provide personal information such as your name, address, date of birth, and contact details. You may also need to specify a healthcare proxy or representative who will advocate for your wishes if you are unable to do so yourself.
5. Seek witness signatures: DNR forms usually require witness signatures to validate your decision. Check the requirements on the form regarding who can act as witnesses, as they may have to meet specific criteria, such as being over 18 years old and not being directly involved in your healthcare or family.
6. Review and revise if necessary: It is important to periodically review your DNR order and make revisions as needed. If there are changes in your medical condition, treatment preferences, or personal beliefs, discuss them with your healthcare provider and update the form accordingly. Keep the updated form easily accessible for healthcare professionals.

Who needs a Do Not Resuscitate (DNR) order:

1. Terminally ill patients: Individuals diagnosed with a terminal illness or those with advanced diseases that have a poor prognosis may choose to have a DNR order. This allows them to focus on comfort care and avoid unnecessary interventions in their final stages of life.
2. Elderly patients with multiple comorbidities: Older adults who have multiple chronic health conditions, frailty, or a limited life expectancy may opt for a DNR order. It respects their autonomy and aligns with their preferences for end-of-life care.
3. Individuals with a poor quality of life: Some individuals may have conditions that severely diminish their quality of life or result in permanent disability. They may decide that undergoing CPR in an emergency situation would not be in their best interest and choose a DNR order.
4. Patients with religious or personal beliefs: Personal beliefs, cultural or religious values may influence individuals to opt for a DNR order. Some religions have specific teachings regarding end-of-life care, and adherents may wish to honor those beliefs.
5. Those who have discussed and planned for end-of-life care: People who have engaged in conversations about end-of-life care with their loved ones and healthcare providers may express a preference for a DNR order as part of their overall care plan.

Remember, the decision regarding a DNR order is deeply personal and should be made after careful consideration and consultation with healthcare professionals, loved ones, and any relevant spiritual advisors.

For pdfFiller’s FAQs

What is donotresuscitate dnr donotresuscitate dnr?

Donotresuscitate (DNR) is a legal document that allows an individual to express their wish to not receive cardiopulmonary resuscitation (CPR) in case their heart stops beating or they stop breathing.

Who is required to file donotresuscitate dnr donotresuscitate dnr?

Donotresuscitate (DNR) forms are typically filled out by individuals who have a terminal illness or do not wish to receive CPR in case of a medical emergency.

How to fill out donotresuscitate dnr donotresuscitate dnr?

Donotresuscitate (DNR) forms can be filled out with the assistance of a medical professional or legal advisor. The individual must sign the form to make it legally binding.

What is the purpose of donotresuscitate dnr donotresuscitate dnr?

The purpose of a Donotresuscitate (DNR) form is to ensure that an individual's wishes regarding CPR are respected in case of a medical emergency.

What information must be reported on donotresuscitate dnr donotresuscitate dnr?

A donotresuscitate (DNR) form typically includes the individual's name, signature, the date the form was signed, and any specific instructions regarding their medical treatment.

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