Missouri 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

Completing a do-not-resuscitate form involves several important steps to ensure your wishes are respected. First, you should clearly outline your preferences regarding resuscitation and other life-sustaining treatments. Next, consult with your healthcare provider to confirm that your directives align with medical guidelines. The Missouri USLegal Pamphlet on Do Not Intubate - DNI offers guidance on filling out these forms and can help simplify the process.

Yes, DNI stands for 'do not intubate.' This medical directive indicates a patient's wish to avoid intubation in the event of respiratory failure. Understanding this term is crucial for both healthcare providers and patients, as it forms part of advance care planning. The Missouri USLegal Pamphlet on Do Not Intubate - DNI provides essential information on how to communicate these wishes effectively.

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.

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.

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.

DNR means that no CPR (chest compressions, cardiac drugs, or placement of a breathing tube) will be performed. A DNI or Do Not Intubate order means that chest compressions and cardiac drugs may be used, but no breathing tube will be placed.

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.

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Missouri USLegal Pamphlet on Do Not Intubate - DNI