Do Not Resuscitate Form
What is Do Not Resuscitate Form?
A Do Not Resuscitate (DNR) form is a legal document that states an individual's preference to refuse any life-saving measures in the event of cardiac or respiratory arrest. It is meant to communicate the person's wish to let nature take its course and not be resuscitated through medical interventions.
What are the types of Do Not Resuscitate Form?
There are two main types of Do Not Resuscitate (DNR) forms: 1. Pre-hospital DNR order: This form is used outside of a healthcare facility and is signed by a physician to indicate that resuscitation should not be attempted if the individual experiences cardiac or respiratory arrest before reaching a hospital. 2. In-hospital DNR order: This form is used within a healthcare facility and is typically signed by both the physician and the patient (or their legal representative) to indicate the patient's preference to forgo resuscitation measures.
How to complete Do Not Resuscitate Form
Completing a Do Not Resuscitate (DNR) form involves the following steps: 1. Consult with a healthcare professional: Discuss your medical condition, prognosis, and treatment options with your physician or healthcare provider to ensure that a DNR order aligns with your beliefs and preferences. 2. Obtain the form: Ask your healthcare provider, hospital, or local health department for a Do Not Resuscitate form. 3. Fill in personal information: Provide your full name, date of birth, and contact details as requested on the form. 4. Indicate DNR order type: Select the appropriate type of DNR order, either pre-hospital or in-hospital, depending on your needs and circumstances. 5. Sign the form: Read the document carefully and sign it in the presence of a witness, who should also sign and provide their contact information. 6. Share the form: Keep a copy of the form for your records and make sure to share it with your healthcare provider, family members, and any other relevant parties.
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