Key Takeaways:
DNR (Do Not Resuscitate) orders and POLST (Physician Orders for Life-Sustaining Treatment) forms outline an individual's wishes regarding life-sustaining treatments, with DNRs focusing on resuscitation and POLSTs covering broader medical interventions
Reflect on your values and preferences, then engage in open conversations with care teams, healthcare providers, and loved ones to ensure your wishes are understood and respected
Work with your primary healthcare providers to complete and regularly update DNR and POLST forms, and ensure these documents are easily accessible to your care team and family members- Innerhive is the perfect place for this!
In advance care planning, decisions regarding Do Not Resuscitate (DNR) orders and Physician Orders for Life-Sustaining Treatment (POLST) preferences play a crucial role in ensuring that individuals receive care aligned with their wishes during critical medical situations. Understanding the purpose, implications, and best practices for navigating DNR and POLST preferences is essential for individuals and their caregivers as they engage in advance care planning. In this article, we'll explore the significance of DNR and POLST preferences, offer guidance on how to approach these decisions, and provide resources for getting started.
Understanding DNR and POLST Preferences
DNR orders and POLST preferences are legal documents that outline an individual's wishes regarding life-sustaining treatments, resuscitation efforts, and end-of-life care. While both documents serve similar purposes, they have distinct differences in terms of scope, applicability, and legal authority:
DNR Orders: A DNR order instructs healthcare providers not to attempt cardiopulmonary resuscitation (CPR) if a person's heart stops beating or they stop breathing. DNR orders are typically issued in advance by individuals who do not wish to receive CPR in the event of cardiac arrest.
POLST Preferences: A POLST form is a medical order that specifies an individual's preferences for medical treatments, including CPR, intubation, and other life-sustaining interventions. POLST preferences are documented based on a person's current health status, prognosis, and goals of care, and are signed by a healthcare provider.
Best Practices for Navigating DNR and POLST Preferences:
When considering DNR and POLST preferences in advance care planning, it's essential to approach these decisions thoughtfully and in collaboration with healthcare providers, family members, and other trusted individuals. Here are some best practices for navigating DNR and POLST preferences:
Educate Yourself: Take the time to learn about DNR orders, POLST preferences, and the implications of each decision. Seek guidance from healthcare professionals, elder law attorneys, and reputable resources to ensure that you understand your options and rights.
Reflect on Values and Preferences: Consider your values, beliefs, and preferences regarding end-of-life care and medical interventions. Reflect on the quality of life you desire, your goals for care, and any concerns or fears you may have about specific treatments.
Have Open Conversations: Engage in open and honest conversations with your healthcare providers, family members, and designated decision-makers about your wishes regarding DNR and POLST preferences. Discuss your goals of care, treatment preferences, and any concerns or questions you may have.
Complete Legal Documents: Work with your healthcare provider to complete legally binding documents, such as DNR orders and POLST forms, that accurately reflect your preferences for end-of-life care. Ensure that these documents are updated regularly to reflect any changes in your health status or treatment preferences.
Communicate Your Wishes: Clearly communicate your DNR and POLST preferences to your healthcare team, family members, and designated decision-makers. Make sure that everyone involved in your care is aware of your wishes and understands how to honor them during medical emergencies.
Getting Started:
To begin the process of documenting your DNR and POLST preferences, consider the following steps:
Schedule an Appointment: Arrange a meeting with your primary care physician or healthcare provider to discuss your preferences for end-of-life care and advance care planning.
Gather Information: Collect any relevant medical records, advance directive documents, and legal forms related to DNR orders and POLST preferences.
Discuss Options: Talk to your healthcare provider about the available options for documenting your DNR and POLST preferences, including the completion of legal forms and discussions about treatment preferences.
Document Preferences: Work with your healthcare provider to complete DNR orders and POLST forms that accurately reflect your wishes for medical treatment and end-of-life care.
Share Documents: Distribute copies of your completed DNR orders and POLST forms to your healthcare team, family members, and designated decision-makers. Keep these documents in a readily accessible location in case of emergencies.
Navigating DNR and POLST preferences in advance care planning requires careful consideration, open communication, and collaboration with healthcare providers and loved ones. By understanding the purpose and implications of DNR orders and POLST preferences, reflecting on personal values and preferences, and documenting wishes in legally binding documents, individuals can ensure that their end-of-life care aligns with their goals and desires. Start the conversation today and take proactive steps to document your preferences for DNR and POLST preferences, ensuring that your wishes are honored and respected during critical medical situations.
Disclaimer: This article is for informational purposes only and is not intended to serve as legal or financial advice. For specific advice tailored to your individual circumstances, it is recommended to consult with a qualified professional.