This pamphlet provides an overview on Do Not Resuscitate (DNI) orders. A comparison of DNI and DNR orders is included.
Alabama USLegal Pamphlet on Do Not Intubate - DNI
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FAQ
A do not intubate (DNI) order communicates your wish to avoid intubation in the event of a medical emergency. This order allows healthcare providers to respect your choices regarding life-sustaining treatment. The Alabama USLegal Pamphlet on Do Not Intubate - DNI provides valuable information on the implications of such orders. Ultimately, it ensures that your healthcare aligns with your personal values and preferences.
To obtain a do not intubate order, you should first discuss your wishes with your healthcare provider. They will help you understand the implications and ensure your preferences are documented correctly. You can also refer to the Alabama USLegal Pamphlet on Do Not Intubate - DNI for guidance on the process. Make sure that your family is informed about your decision, as it is essential for them to understand your wishes.
In medical terms, a DNI means that patients do not want a breathing tube inserted into their trachea, via the nose or mouth, to restore normal breathing. If the patient's breathing remains impaired, the tube remains in place and is eventually connected to a ventilator to maintain breathing.
A natural reaction to medicine's use of CPR and MV was the advent of advance directives and more specific Do-Not-Resuscitate (DNR) and Do-Not-Intubate (DNI) orders meant to protect a patient's ability to remain autonomous with their end of life decisions. 1.
Conclusions: Conflation of DNR and DNI into DNR/DNI does not reliably distinguish patients who refuse or accept intubation for indications other than cardiac arrest, and thus may inappropriately deny desired intubation for those who would accept it, and inappropriately impose intubation on patients who would not.
A patient has the option to be Full Code, DNR (Do Not Resuscitate), DNI (Do Not Intubate) or both DNR and DNI.
Choosing a Do Not Intubate Order DNI's only apply to situations where a patient has no pulse or is not breathing, but they do not restrict any other clinically indicated care. There does not need to be a formal advance directive or living will to have DNR and DNI orders in place.
DNI's only apply to situations where a patient has no pulse or is not breathing, but they do not restrict any other clinically indicated care. There does not need to be a formal advance directive or living will to have DNR and DNI orders in place.
Strictly defined, a do not resuscitate/do not intubate (DNR/DNI) status indicates a patient does not want to receive CPR or intubation in the event of cardiopulmonary arrest.
A DNI or Do Not Intubate order means that chest compressions and cardiac drugs may be used, but no breathing tube will be placed. An AND or Allow Natural Death order is a term used at some hospitals as an alternative to the more traditional DNR order.
