Understanding Do Not Resuscitate (DNR) Orders

One of the most challenging decisions that a person or their family may face is the decision about end-of-life care, specifically whether to sign a do-not-resuscitate (DNR) order. At Davidson Estate Law, we understand how emotionally charged these decisions can be, and we're here to help you understand DNR orders, so you can choose what's best for your situation.

Our experienced estate planning attorneys strive to provide steadfast guidance through some of life's most difficult decisions. Based in Oakland, California, we serve clients throughout Walnut Creek, Berkeley, San Francisco, El Cerrito, Alameda, and across the Bay Area.

What Are DNR Orders?

A do not resuscitate (DNR) order is a legal document that specifies a patient's wishes regarding resuscitation attempts should they experience cardiac or respiratory arrest. It is a key part of advance care planning aimed at making sure the medical care one receives aligns with their personal values and desires at the end of life.

Unlike some other medical directives, a DNR order focuses specifically on not intervening with CPR or advanced cardiac life support (ACLS) in an emergency. This document instructs medical personnel not to perform life-saving measures, such as CPR, in case of cardiac or respiratory arrest.

Having a DNR order in place can provide peace of mind helping you know your healthcare preferences will be respected, and that you won't receive medical interventions you wish to avoid.

Circumstances Involving DNR Orders

DNR orders typically come into play during hospital stays, nursing home care, or long-term healthcare settings. Individuals with chronic illnesses, terminal conditions, or those experiencing significant health decline often consider DNR orders as a way to maintain control over their end-of-life care.

Families may find it helpful to discuss potential DNR orders with healthcare professionals and loved ones before a critical situation unfolds. In certain cases, patients undergoing surgery or those with temporary critical health threats might choose temporary DNR orders to address specific periods of heightened risk.

It's important to revisit the decision to maintain or revoke DNR orders, as your health conditions and personal beliefs may evolve.

While a DNR is a legally binding medical order that indicates that a patient does not want to receive CPR, it does not affect any other treatments, such as pain medicine, medicines for breathing comfort, and other treatments for comfort.

It's important to note that DNR orders are not just for the elderly or those with terminal illnesses. Anyone can choose to have a DNR order if they do not wish to have CPR performed on them. This decision may be based on personal beliefs, religious reasons, quality of life considerations, or advice from medical professionals.

Implications of DNR Orders

Given the gravity of DNR orders and their potential consequences, these documents should be discussed thoroughly with your physician and family members before making a decision. It's also crucial to understand that a DNR order doesn't mean giving up on life or care. Instead, it focuses on the quality of life rather than prolonging life by any means necessary.

While DNR orders are primarily medical documents, they can also be part of an advance healthcare directive. This document outlines your healthcare preferences and designates someone to make decisions on your behalf if you become unable to do so yourself. A DNR order can be included in this directive to help ensure it's honored by medical professionals.

Additional Considerations for End-of-Life Planning

When contemplating end-of-life planning, it's vital to consider various factors beyond DNR orders to ensure comprehensive preparation. For example, appointing a healthcare agent can make sure someone you trust will make decisions that are in line with your wishes if you are unable to do so.

It's also essential to consider the financial aspects of end-of-life care. Creating a comprehensive estate plan that includes wills, trusts, and powers of attorney can protect your assets and provide for your loved ones after you pass away.

At Davidson Estate Law, we believe it's crucial to continually review and update your estate plan as circumstances change. We encourage our clients to revisit their DNR orders and other healthcare directives periodically to ensure they reflect their current wishes accurately.

DNR Order FAQ

Who can issue a DNR order?

A DNR order can be issued by a patient, provided they are of sound mind, or by an appointed healthcare proxy. Physicians typically sign the order to make sure it's recognized as a legal medical directive.

Where should a DNR order be kept?

We recommend keeping your DNR order in a visible and accessible place, such as with other essential medical documents, so that it can be easily provided to medical personnel if needed.

Can a DNR order be revoked or changed?

Yes, a DNR order can be revoked or altered at any time by the patient or their proxy. It is important to communicate any changes to your healthcare provider promptly.

Are DNR orders recognized in all states?

While DNR orders are a common medical directive, the exact requirements for implementation can vary by state. It's essential to make sure your DNR order meets the legal criteria of the state in which you reside or receive treatment.

Does having a DNR order impact other medical treatments?

No, a DNR order solely pertains to CPR and similar life-saving measures. It does not restrict other forms of treatment such as pain relief, antibiotics, or nutrition. These should be specified separately in a living will or healthcare directive.

How Davidson Estate Law Can Assist You

We're committed to assisting our clients with the legal aspects of end-of-life decisions, including the creation of an advance healthcare directive comprising a DNR order. Our experienced attorneys understand the sensitivities involved and strive to provide compassionate and personalized service.

We don't just draft documents. We listen closely to understand your wishes, answer your questions, and equip you with the information you need to make informed decisions about your future.

Let Us Help You Make End-of-Life Decisions with Compassion and Clarity

End-of-life decisions are not easy, but having a plan that reflects your wishes provides peace of mind for you and your loved ones. Whether it's advising on DNR orders or any other estate planning matters such as wills, trusts, trust administration, or probate, we at Davidson Estate Law are ready to help.

Serving clients in Oakland, Walnut Creek, Berkeley, San Francisco, El Cerrito, Alameda, and throughout the Bay Area, we invite you to contact us for a consultation about your estate planning needs.