Minnesota USLegal Pamphlet on Do Not Intubate - DNI

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Multi-State
Control #:
US-PMPH-05
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Word; 
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Description

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

A DNR, or do not resuscitate order, primarily focuses on preventing resuscitation efforts in the event of cardiac arrest. However, a DNR does not automatically imply that intubation is off the table in other situations. The Minnesota USLegal Pamphlet on Do Not Intubate - DNI clarifies these distinctions, helping you navigate complex medical decisions. It's essential to discuss your specific wishes with your healthcare provider to ensure your preferences are honored.

Yes, DNI stands for do not intubate. This directive indicates that a patient does not wish to undergo intubation, which is a medical procedure that involves inserting a tube into the airway. The Minnesota USLegal Pamphlet on Do Not Intubate - DNI provides valuable information on this topic, helping patients and families understand their rights and options. By reviewing this pamphlet, you can ensure that your healthcare wishes are clearly communicated.

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.

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.

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.

notresuscitate order, or DNR order, is a medical order written by a doctor. It instructs health care providers not to do cardiopulmonary resuscitation (CPR) if a patient's breathing stops or if the patient's heart stops beating.

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.

When you request a Do Not Resuscitate (DNR) order, your doctor may ask you whether or not you also want a Do Not Intubate (DNI) order. The two are separate because you can have trouble breathing before your heartbeat or breathing stops. If your breathing problems continue, your heart or lungs may go into full arrest.

A DNR order does not mean "do not treat." Rather, it means only that CPR will not be attempted. Other treatments (for example, antibiotic therapy, transfusions, dialysis, or use of a ventilator) that may prolong life can still be provided.

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Minnesota USLegal Pamphlet on Do Not Intubate - DNI