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But the difference goes beyond semantics. AND reflects an end-of-life philosophy of providing comfort rather than cure, whereas DNR reflects a model of care in which death is seen as a failure of treatment.
When You are Unable to Make the Decision You may have named someone to speak for you, such as a health care agent. If so, this person or a legal guardian can agree to a DNR order for you.
Everyone who has capacity to do so can refuse CPR if they wish. This is a choice you can make at any time, for example when you are healthy or when you are approaching the end of your life. You can make it clear to your doctor or medical team that you do not want CPR if your heart or breathing stops.
Regardless of the format or the venue, DNR orders almost always follow the same general rules to be valid:DNR orders must be written by medical professionals rather than verbalized.Written DNR orders must include the patient's name.DNR orders must be dated.The DNR order must be signed by the healthcare provider.
Can a Healthy Person Get a DNR? While do-not-resuscitate orders are commonly sought by aging and terminally ill patients, it is possible for a healthy person to get a DNR. In fact, many doctors have their own DNRs in place. But while most states will allow any adult to establish a DNR, it's not always a good idea.
The Comfort Care/DNR Directive is available for use by anyone over 18 years of age who is capable of making an informed decision. By completing the form, the person named on the form is directing EMS crews to not attempt resuscitation if the person's heart or breathing stops.
Do not resuscitate order A DNR is a request not to have CPR if your heart stops or if you stop breathing. You can use an advance directive form or tell your doctor that you don't want to be resuscitated. Your doctor will put the DNR order in your medical chart. Doctors and hospitals in all states accept DNR orders.
What is a 'do not resuscitate order'? A DNR order is a medical order to withhold cardiopulmonary resuscitation (CPR). Such an order lets the healthcare team know that, in the event of a cardiac arrest, CPR must not be conducted. Instead, healthcare staff should promote comfort and prepare for end-of-life care.
Here's why: CPR requires the heart to be compressed hard and deep enough to pump the blood out of the heart. Those who are resuscitated may also suffer brain damage. As such, it can lead to broken ribs, punctured lungs, and possibly a damaged heart. These actions may be too much for someone in frail health.
A DNR order allows you to choose whether or not you want CPR in an emergency. It is specific about CPR. It does not have instructions for other treatments, such as pain medicine, other medicines, or nutrition.