Can I Write My Own DNR? Your Complete Guide to DIY Do-Not-Resuscitate Orders

Deciding what medical treatment you want, especially in a crisis, is incredibly important. One crucial decision is whether or not you want life-sustaining treatment, like CPR. A Do-Not-Resuscitate (DNR) order is a legal document that expresses your wishes about this. This article will delve into whether you can write your own DNR, exploring the nuances of this process and providing you with essential information.

Understanding Do-Not-Resuscitate (DNR) Orders: What They Are and Why They Matter

Before diving into the “how,” let’s clarify the “what” and “why.” A DNR order is a medical order signed by a physician that instructs healthcare professionals not to perform cardiopulmonary resuscitation (CPR) on a patient if their breathing or heartbeat stops. It’s a powerful document that respects your autonomy and right to make decisions about your own healthcare.

Why is a DNR important? It allows you to control your medical treatment in a situation where you might be unable to communicate your wishes. It prevents unwanted and potentially invasive medical interventions. For individuals with terminal illnesses or those who do not wish for aggressive life-sustaining measures, a DNR can provide peace of mind. It’s about ensuring your wishes are honored.

The Legality and Requirements: Can You Really Write Your Own DNR?

The short answer is: it’s complicated. While the idea of writing your own DNR might seem straightforward, the legal landscape is often more complex. Generally, a DNR is not valid unless it is signed by a physician. This is because a physician is required to assess your medical condition, confirm your understanding of the implications, and ensure the DNR aligns with your medical situation.

However, there are situations where you can initiate the process. You can certainly prepare the document. Many states offer standardized DNR forms that you can fill out. You can also draft a living will or advanced directive, which can include your wishes regarding resuscitation. The key is to understand that these documents usually need to be reviewed and signed by a physician to be legally binding.

Steps to Creating a Valid DNR: A Detailed Breakdown

So, how do you go about creating a legally sound DNR? Here’s a step-by-step guide:

1. Research Your State’s Laws: DNR regulations vary by state. Familiarize yourself with the specific requirements in your jurisdiction. Your state’s Department of Health or a local legal aid organization can provide this information.
2. Obtain the Correct Forms: Many states provide standardized DNR forms. These forms are designed to be legally compliant. You can often find these online, at your doctor’s office, or at your local hospital.
3. Complete the Form Accurately: Carefully fill out the form, providing all the required information. Be clear and concise in stating your wishes. Consider including specific details about your medical condition and your reasons for wanting a DNR.
4. Consult with Your Physician: This is the most crucial step. Schedule an appointment with your doctor to discuss your wishes and the DNR form. Your doctor will assess your medical condition, explain the implications of a DNR, and, if appropriate, sign the form.
5. Ensure Proper Execution and Witnessing: Some states require the DNR to be witnessed, either by a notary public or by specific individuals. Make sure you understand and comply with these requirements.
6. Distribute Copies: Make copies of the signed DNR and give them to your doctor, your primary care physician, close family members, and anyone else who might need to know, such as a designated healthcare proxy. Carry a copy with you at all times, especially if you have a medical condition.

Advanced Directives and Living Wills: Complementing Your DNR

A DNR is often part of a broader set of documents known as advanced directives. These directives allow you to express your wishes about medical care in advance, in case you become unable to make decisions for yourself.

• Living Will: A living will specifies the medical treatments you want or don’t want, such as life support, feeding tubes, or dialysis. It’s a valuable companion to a DNR.
• Healthcare Proxy (or Durable Power of Attorney for Healthcare): This designates a person you trust to make healthcare decisions on your behalf if you are unable to do so. This person acts as your voice.

These documents work together to ensure your wishes are followed.

Common Pitfalls to Avoid When Preparing a DNR

There are several common mistakes that can undermine the validity or effectiveness of your DNR.

• Not Consulting a Physician: As mentioned, a DNR typically requires a physician’s signature. A self-written document without physician involvement is unlikely to be legally binding.
• Using Outdated Forms: Laws and regulations change. Always use the most current version of the DNR form for your state.
• Failing to Communicate Your Wishes: Simply having a DNR is not enough. You need to discuss it with your loved ones, your healthcare proxy, and your healthcare providers.
• Not Reviewing and Updating Regularly: Your medical situation and your wishes may change over time. Review your DNR and other advanced directives periodically, especially if your health changes or you experience a significant life event.
• Lack of Clarity: Ensure your DNR is clearly worded and leaves no room for interpretation. Ambiguity can lead to confusion and potentially undermine your wishes.

Where to Find Help and Resources

Several organizations and resources can assist you in creating a DNR and other advanced directives:

• Your Physician: Your doctor is the best resource for understanding your medical condition and the implications of a DNR.
• State Bar Associations: Many state bar associations offer legal aid or referral services to help you find an attorney who specializes in estate planning and healthcare directives.
• Hospitals and Healthcare Providers: Most hospitals and healthcare systems have patient advocates or social workers who can provide information and assistance.
• National Healthcare Decisions Day: This annual event (held in April) provides resources and information about advance care planning.

Ensuring Your Wishes Are Honored: The Importance of Communication

Having the proper legal documents is only half the battle. The most crucial aspect of a DNR is open and honest communication. Talk to your family, your healthcare proxy, and your physician about your wishes. Make sure they understand your reasons and are prepared to honor your decisions. This proactive communication is essential for ensuring your wishes are respected.

Five Frequently Asked Questions About DNRs

Here are five questions that people commonly have about DNRs, answered in a clear and concise manner:

What Happens if I Don’t Have a DNR and My Heart Stops?

Without a DNR, medical professionals are legally obligated to attempt to resuscitate you using CPR and other life-saving measures. This is the default procedure.

Can a DNR Be Revoked?

Yes, a DNR can be revoked at any time. You can revoke it verbally, by destroying the document, or by creating a new one that contradicts the original.

Does a DNR Apply to All Medical Situations?

No. A DNR specifically addresses CPR. It does not necessarily affect other medical treatments, unless specified in other advanced directives such as a living will.

Will a DNR Affect My Hospital Admission?

A DNR order is separate from your general medical care. It will not affect your ability to be admitted to a hospital for other medical conditions.

What if I Travel Out of State?

DNR orders are generally recognized across state lines, but it’s a good idea to have copies of your DNR with you when you travel. Familiarize yourself with the laws of the state you are visiting.

Conclusion: Taking Control of Your Healthcare Decisions

Writing your own DNR is more accurately described as preparing the necessary documentation, as the actual validity often hinges on physician involvement. While you can gather information, fill out forms, and discuss your wishes with loved ones, a physician’s signature is generally required for the DNR to be legally binding. This guide has provided you with the essential information to navigate the process, understand the legal requirements, and ensure your healthcare wishes are respected. Ultimately, a DNR is about empowering you to make informed decisions about your medical care and ensuring your autonomy is preserved. Start the process today, and take control of your healthcare future.