Blank Illinois Do Not Resuscitate Order Form

• Advance Directive: An advance directive is a legal document that outlines a person's preferences for medical treatment in situations where they cannot communicate their wishes. Like a Do Not Resuscitate Order (DNR), it serves to guide healthcare providers in accordance with the patient's desires.
• Living Will: A living will is a specific type of advance directive that details the types of medical treatments a person wishes to receive or avoid in the event of terminal illness or incapacitation. It is similar to a DNR in that both documents express the individual's healthcare preferences.
• Durable Power of Attorney for Health Care: This document designates an individual to make healthcare decisions on behalf of the person if they are unable to do so. It complements a DNR by ensuring that someone can advocate for the patient's wishes regarding resuscitation and other medical interventions.
• Hold Harmless Agreement: A Hold Harmless Agreement protects one party from liability for injuries or damages suffered by another party. This agreement is particularly important in Alabama, where specific state laws can influence the enforceability and scope of such agreements. For more information, see the Hold Harmless Agreement.
• Physician Orders for Life-Sustaining Treatment (POLST): A POLST form translates a patient's wishes about life-sustaining treatment into actionable medical orders. It is similar to a DNR in that both documents communicate the patient's preferences to healthcare providers, but POLST is often used for individuals with serious health conditions.
• Healthcare Proxy: A healthcare proxy is a legal document that allows an individual to appoint someone to make medical decisions on their behalf. Like a DNR, it ensures that the patient's wishes are respected when they cannot voice them themselves.
• Do Not Intubate Order: A Do Not Intubate (DNI) order specifies that a patient does not wish to be intubated if they cannot breathe on their own. This document is closely related to a DNR, as both indicate a preference to avoid certain life-sustaining measures.
• Comfort Care Order: A comfort care order focuses on providing relief from pain and other distressing symptoms without attempting to prolong life. This approach aligns with the intent of a DNR, which prioritizes the patient's comfort over aggressive medical interventions.
• End-of-Life Care Plan: An end-of-life care plan outlines the overall approach to care during the final stages of life, including preferences for resuscitation. It is similar to a DNR in that both documents reflect the individual's values and wishes regarding their treatment at the end of life.

1. What is a Do Not Resuscitate (DNR) Order?

   A Do Not Resuscitate Order is a legal document that allows individuals to refuse cardiopulmonary resuscitation (CPR) and other life-saving measures in the event of a medical emergency. This order is typically used by patients with terminal illnesses or those who wish to avoid aggressive medical interventions at the end of life.

2. Who can complete a DNR Order in Illinois?

   In Illinois, a DNR Order can be completed by a patient who is at least 18 years old and has the capacity to make their own medical decisions. If the patient is unable to make decisions, a legally authorized representative, such as a family member or guardian, may complete the form on their behalf.

3. How do I obtain a DNR Order form in Illinois?

   The DNR Order form can be obtained from various sources, including hospitals, healthcare providers, or online from the Illinois Department of Public Health website. Ensure that you are using the most current version of the form to avoid any issues.

4. What information is required on the DNR Order form?

   The form typically requires the patient’s name, date of birth, and a clear statement of their wishes regarding resuscitation. It may also need to be signed by the patient and a physician. Some forms may include additional sections for witnesses or other healthcare professionals.

5. Is a DNR Order valid in all healthcare settings?

   Yes, a properly completed DNR Order is valid in all healthcare settings in Illinois, including hospitals, nursing homes, and at home. However, it is important to ensure that the order is accessible to healthcare providers at all times.

6. Can a DNR Order be revoked?

   Yes, a DNR Order can be revoked at any time by the patient. This can be done verbally or by destroying the written order. It is advisable to inform healthcare providers of the revocation to ensure that your current wishes are respected.

7. What happens if a DNR Order is not honored?

   If a DNR Order is not honored, it can lead to unwanted medical interventions. In such cases, family members or the patient’s legal representative may need to advocate for the patient's wishes. It is essential to communicate your wishes clearly with your healthcare team.

8. Do I need a lawyer to complete a DNR Order?

   No, you do not need a lawyer to complete a DNR Order. However, consulting with a legal professional can provide clarity on your rights and ensure that the document aligns with your wishes and state laws.

9. Can a DNR Order be part of an advance directive?

   Yes, a DNR Order can be included as part of a broader advance directive. An advance directive outlines your preferences for medical treatment and can address various healthcare decisions, including resuscitation preferences.

10. Where should I keep my DNR Order?

    It is crucial to keep your DNR Order in a place that is easily accessible, such as on your refrigerator or with your other important medical documents. Inform your family members and healthcare providers about its location to ensure that your wishes are known in an emergency.

When considering the Illinois Do Not Resuscitate (DNR) Order form, it's essential to be aware of other related documents that may complement or support your healthcare decisions. These documents provide clarity and guidance for medical professionals and loved ones regarding your preferences in critical situations. Here are five important forms often used alongside the DNR Order:

• Living Will: This document outlines your wishes regarding medical treatment in situations where you are unable to communicate your preferences. It can address various scenarios, including end-of-life care and life-sustaining treatments.
• Healthcare Power of Attorney: A Healthcare Power of Attorney allows you to designate a trusted person to make medical decisions on your behalf if you become incapacitated. This individual can ensure that your healthcare preferences are honored.
• Physician Orders for Life-Sustaining Treatment (POLST): This form translates your healthcare wishes into actionable medical orders. It is often used for individuals with serious illnesses and ensures that healthcare providers follow your treatment preferences.
• Advance Directive: An advance directive is a broader term that encompasses both living wills and healthcare powers of attorney. It serves as a comprehensive guide for your medical care preferences and decision-making processes.
• Transfer-on-Death Deed: This form allows property owners in Massachusetts to transfer their real estate without probate, ensuring a straightforward process for heirs. For more information, visit transferondeathdeedform.com/massachusetts-transfer-on-death-deed/.
• Do Not Hospitalize Order: This document expresses your desire to avoid hospitalization in certain situations, particularly when you wish to receive care in a more comfortable or familiar setting, such as at home or in hospice care.

Understanding these documents can help ensure that your healthcare preferences are respected and followed. It’s advisable to discuss your wishes with family members and healthcare providers to promote clarity and understanding in critical situations.