Delaware USLegal Pamphlet on Do Not Intubate - DNI

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US-PMPH-05
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This pamphlet provides an overview on Do Not Resuscitate (DNI) orders. A comparison of DNI and DNR orders is included.

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FAQ

In general, a person with a Do Not Resuscitate (DNR) order may still be intubated, depending on their specific medical situation and the directives they have set. A DNR order typically prevents resuscitation efforts during cardiac or respiratory arrest, while intubation may be indicated in other circumstances. The Delaware USLegal Pamphlet on Do Not Intubate - DNI offers detailed guidance on these distinctions, helping you understand your options. Always consult with healthcare professionals to ensure your wishes are honored.

Yes, you can be designated as Do Not Intubate (DNI) without having a Do Not Resuscitate (DNR) order. DNI specifically addresses the use of intubation in emergency situations, focusing on the patient’s choice. The Delaware USLegal Pamphlet on Do Not Intubate - DNI clarifies how these two directives can coexist or operate independently. It is important to communicate your wishes clearly to healthcare providers to ensure they are respected.

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.

It is an emergency rescue technique that was developed to save the life of people who are generally in good health. NOTE: If you do not have a DNR orders, health care providers will begin CPR in an emergency.

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.

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.

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 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.

A ventilator keeps oxygen flowing into and out of the lungs when patients are unable to breathe on their own. A patient can sign a DNI and continue to benefit from oxygen therapy and non-invasive ventilation, such as through BiPAP.

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.

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Delaware USLegal Pamphlet on Do Not Intubate - DNI