Before you begin!
In certain situations, Do Not Resuscitate (DNR) orders and advance directives may not be honored as expected. It's important to be aware of these scenarios to ensure your wishes are more likely to be respected. Here are a few instances when these documents might not be followed:
Emergency Situations (Outside of Healthcare Facilities):
In a sudden emergency outside a hospital or care facility, first responders may not have immediate access to your DNR or advance directive. They are generally required to provide life-saving measures unless they see a clear, legal DNR order, such as a portable DNR or POLST form.
It’s crucial to keep a visible DNR or have it easily accessible at home or with caregivers.
Incomplete or Invalid Documents:
If your advance directive or DNR form is incomplete, outdated, or fails to meet state-specific legal requirements (such as not being witnessed or notarized where required), it may not be considered legally binding by healthcare providers.
Ensuring the documents are properly completed, up-to-date, and compliant with your state's laws is essential.
Lack of Communication with Medical Staff:
If healthcare providers or your medical power of attorney aren’t aware of your DNR or advance directive, they may not be followed. Be sure to discuss your wishes with family members, your healthcare agent, and medical professionals.
Copies of your documents should be provided to your doctors, healthcare agents, and kept in easily accessible locations.
Legal Restrictions or Institutional Policies:
In rare cases, certain healthcare institutions, such as religiously affiliated hospitals, may have policies that limit their ability to honor specific advance directives or DNR requests. It's important to ask about such policies ahead of time and to ensure your care aligns with your values and wishes.
Disagreements Among Healthcare Providers or Family:
If there is confusion or disagreement among healthcare providers or family members about your wishes, your advance directive or DNR may be delayed or not followed in the moment. To avoid this, ensure everyone is on the same page about your decisions.
When Situations Change:
In some cases, new medical information or changes in your condition may cause a healthcare provider to question whether the instructions in your DNR or advance directive still reflect your wishes. Make sure to regularly review and update your documents as your health evolves.
By keeping your documents up-to-date, clearly communicating with loved ones and medical professionals, and ensuring your DNR and advance directives are readily accessible, you can increase the likelihood that your healthcare decisions will be respected when it matters most.