DNR Printable Form: A Comprehensive Guide for Understanding and Completing

Navigating end-of-life decisions can be a complex and emotional process. Understanding your options and creating a plan for your future care is crucial. One essential document in this process is a Do Not Resuscitate (DNR) form, a legal document that communicates your wishes regarding life-sustaining treatment in the event you become unable to make decisions for yourself. This guide will provide a comprehensive overview of DNR printable forms, including their types, legal considerations, and step-by-step instructions on completing and storing the form.

DNR forms are essential tools for ensuring your end-of-life wishes are respected. By completing and sharing this document with your loved ones and healthcare providers, you can have peace of mind knowing that your choices will be honored.

Printable DNR Form Types

There are different types of DNR forms available, each designed for specific purposes. Understanding the distinctions between these forms is crucial to ensure you choose the most appropriate one for your situation.

The following are some common types of DNR forms:

Statutory DNR Forms

• Statutory DNR Forms: These forms are created and regulated by individual states. They are legally binding and recognized by healthcare providers in that particular state. Statutory DNR forms typically require a witness or notary to sign the document.
• Physician Orders for Life-Sustaining Treatment (POLST): POLST forms are used in some states to document a patient’s wishes regarding end-of-life care. They are typically completed by a healthcare provider and can be used in both hospital and community settings.
• Medical Orders for Life-Sustaining Treatment (MOLST): MOLST forms are similar to POLST forms, but they are used in other states. They are also completed by a healthcare provider and can be used in both hospital and community settings.

Non-Statutory DNR Forms

• Non-Statutory DNR Forms: These forms are not legally binding but can still be used to express a person’s wishes regarding end-of-life care. They are not recognized by all healthcare providers, and their validity may vary from state to state.
• Living Wills: Living wills are legal documents that allow individuals to state their wishes regarding end-of-life care. They can be used to specify whether or not a person wants to receive life-sustaining treatment in the event they become incapacitated.
• Healthcare Proxies: Healthcare proxies are legal documents that allow individuals to appoint someone to make healthcare decisions on their behalf in the event they become incapacitated. This person can make decisions about life-sustaining treatment, as well as other healthcare matters.

Legal Considerations

Before using a DNR form, it’s essential to understand the legal implications. Completing a DNR form is a legally binding decision that has significant consequences. It’s crucial to consult with a healthcare professional or attorney to ensure you fully comprehend the form’s legal implications.

Consulting a Healthcare Professional or Attorney

Consulting with a healthcare professional or attorney can provide valuable guidance and clarity on the legal implications of using a DNR form. They can explain the specific laws and regulations in your jurisdiction, ensuring you make an informed decision that aligns with your wishes and values.

Completing the Form

Filling out a DNR form is a crucial step in ensuring your wishes are respected. Follow these steps to complete it accurately:

Gathering Information

Before starting, gather necessary information, including:

• Your full name, date of birth, and contact details
• Your medical history and current health conditions
• Names and contact details of your healthcare providers
• Names and contact details of your legal guardian or healthcare proxy (if applicable)

Understanding the Language

DNR forms use specific medical terminology. Here are some key terms to understand:

• Cardiopulmonary resuscitation (CPR): Chest compressions and breathing assistance
• Artificial respiration: Using a machine to help you breathe
• Intubation: Inserting a tube into your windpipe to help you breathe
• Medical interventions: Any treatments or procedures aimed at prolonging life

Filling Out the Form

Carefully read the form and fill in the following sections:

• Personal Information: Provide your personal details and contact information.
• Medical Information: State your medical history and current health conditions.
• DNR Statement: Clearly indicate your wishes regarding medical interventions. You can choose to decline all interventions or specify which ones you want to refuse.
• Signatures: Sign and date the form in the presence of two witnesses who are not related to you.

Witnessing the Form

Two witnesses must sign the form in your presence. They should be adults who understand the significance of the DNR order and are not related to you.

Distributing the Form

Make copies of the completed form and distribute them to your healthcare providers, legal guardian, and family members. Keep the original in a safe place.

Reviewing and Updating the Form

Review and update your DNR form regularly, especially if your health condition changes or your wishes change.

Storing and Sharing the Form

Keep your completed DNR form in a safe and accessible place, like your wallet or on the fridge. This will ensure that it can be easily found by emergency responders if needed.

It’s crucial to share your DNR form with your family members, healthcare providers, and emergency responders. This will help ensure that your wishes are respected and that you receive the care you want in the event of a medical emergency.

• Family members: Your family members should know about your DNR form and where you keep it. They can help ensure that your wishes are respected.
• Healthcare providers: Your healthcare providers should have a copy of your DNR form in your medical records. This will help them make decisions about your care that are in line with your wishes.
• Emergency responders: Emergency responders should be able to find your DNR form easily. You can wear a DNR bracelet or necklace, or you can keep a copy of the form in your wallet or on the fridge.

Advance Directives

Advance directives are legal documents that allow you to make decisions about your healthcare in case you become unable to do so yourself. DNR forms are one type of advance directive. Other types include living wills and healthcare proxies.

Living Wills

A living will is a document that states your wishes about end-of-life care. It can specify what treatments you want or don’t want, such as artificial respiration or feeding tubes.

Healthcare Proxies

A healthcare proxy is a person you choose to make decisions about your healthcare if you become unable to do so yourself. The person you choose should be someone you trust to make decisions that are in your best interests.

Special Considerations

For individuals with certain medical conditions or circumstances, special considerations may arise when completing a DNR form. It’s crucial to tailor the form to meet their specific needs.

For instance, individuals with severe or terminal illnesses, advanced dementia, or other conditions that significantly impair their ability to communicate their wishes may need additional support in making informed decisions about their end-of-life care.

Tailoring to Individual Needs

Customizing DNR forms is essential to ensure that they accurately reflect the patient’s values and preferences. This may involve consulting with healthcare professionals, family members, or legal advisors to ensure that the form is comprehensive and legally binding.

Resources

If you need assistance obtaining a DNR form or have additional questions, the following resources can provide support and guidance:

It is important to consult with healthcare professionals and legal experts to ensure your DNR form is valid and meets your specific needs.

Organizations and Websites

• National Hospice and Palliative Care Organization (NHPCO): www.nhpco.org
• Compassion & Choices: www.compassionandchoices.org
• American Bar Association: www.americanbar.org
• National Cancer Institute: www.cancer.gov

Common Queries

What is the difference between a DNR and an advance directive?

A DNR form specifically addresses your wishes regarding resuscitation, while an advance directive is a broader document that encompasses your overall end-of-life care preferences, including decisions about medical treatment, pain management, and organ donation.

Can I complete a DNR form online?

While some states allow for online completion of DNR forms, it is generally recommended to obtain a form from your healthcare provider or a reputable organization to ensure its validity and legal compliance.

How often should I review and update my DNR form?

It is advisable to review and update your DNR form periodically, especially if your health status or circumstances change. Regular review ensures that your wishes continue to be accurately reflected in the document.