FAQ
What are DNR and POLST?
- DNR (Do Not Resuscitate) order is a medical directive that instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) or other life-sustaining measures if a person’s heart stops beating or they stop breathing.
- POLST (Physician Orders for Life-Sustaining Treatment) is a medical document that outlines a patient’s wishes regarding various medical treatments in emergencies, specifically tailored to individuals with serious illnesses.
How do DNR and POLST differ?
- A DNR focuses solely on resuscitation efforts in case of cardiac or respiratory arrest.
- POLST provides a more comprehensive set of medical orders, including preferences about resuscitation, mechanical ventilation, and other treatments, making it broader than just resuscitation decisions.
Who can issue a DNR or POLST?
- A DNR order can be issued by a licensed physician. The patient or their authorized representative may request this directive.
- A POLST form is completed by a physician or qualified healthcare professional after discussing treatment options with the patient or their legal representative.
Who should consider completing a DNR or POLST?
Individuals with serious, life-limiting medical conditions, or those who are nearing the end of life, should consider completing a DNR or POLST to ensure their wishes for medical treatment are clearly documented and respected.
Are DNR and POLST legally binding documents?
Yes, both DNR orders and POLST forms are legally binding documents. Healthcare providers are required to honor these directives when they are properly executed.
Can a DNR or POLST order be revoked or changed?
Yes, both DNR orders and POLST forms can be revoked or updated at any time by the patient or their representative. It’s important to inform healthcare providers of any changes to ensure that the most current wishes are followed.
How can one obtain a DNR or POLST order?
- A DNR order can generally be requested through a healthcare provider, who will complete the necessary documentation.
- A POLST form can also be obtained from a healthcare provider, hospitals, or official state health department websites.
Do DNR and POLST replace living wills?
No, DNR and POLST do not replace living wills but serve different purposes in advance care planning. A living will provides general guidance on care preferences, while DNR and POLST offer specific medical orders for healthcare providers to follow.
How should I communicate my DNR or POLST wishes to my family?
Discuss your wishes openly with family members and loved ones to ensure they understand your preferences. It is also helpful to share copies of your DNR order or POLST form with them and your healthcare provider.
What should I do if I have more questions about DNR or POLST?
For questions about DNR and POLST, consult with your healthcare provider. They can offer guidance based on your health situation and local laws, ensuring you have the most accurate and relevant information.