A do-not-resuscitate (DNR) order allows you to refuse life-saving efforts, such as cardiopulmonary resuscitation (CPR) if you stop breathing or your heart stops beating. According to New York statutes, every hospital must presume consent for CPR unless a DNR is in place.
You might be wondering why someone would refuse life-saving measures. However, there are many reasons why some patients need DNRs, especially in the context of long-term care. If you think you might need such an order in the future, here is what you should know.
What can a DNR do and cannot do?
A DNR stops healthcare staff from performing CPR and other measures that follow it, which may involve:
- Mouth-to-mouth breathing
- Chest compressions
- Electric shocks
- Breathing tubes or intubation
- Prescription medication
However, DNR only prevents CPR and advanced cardiac life support. It does not stop other treatments or care, such as pain relief, comfort care, nutrition and other measures that may help prolong your life.
Reasons to want a DNR order
Resuscitation can be painful and cause injuries. The possibility of successful CPR is also very low if someone is at the end of life, such as a patient with advanced age or illness. Thus, someone may want a DNR order if:
- They want to avoid physical and mental trauma
- They want to avoid prolonging suffering or poor quality of life
- They want to stay consistent with their personal beliefs or religion
- They have medical conditions with a very low chance of survival
- They want to die as peacefully as possible
Regardless of the reason, having a DNR order is a highly personal decision that requires careful consideration, discussions with doctors and conversations with loved ones.
How can you include a DNR order in your long-term care plan?
Your provider can help you write a DNR order while you are in the hospital. If you are outside the hospital, you can create one using a standard form from the Department of Health. It must be signed by a doctor, nurse or physician assistant and reviewed every 90 days.
It is also wise to update your advanced care directive or living will to reflect these changes. Consider seeking help from an estate planning attorney who can guide you through the process. Legal counsel can help make all your wishes clear, which can prevent confusion or conflicts when the time comes.