Legal Do Not Resuscitate Order Document for Illinois

What is the Illinois Do Not Resuscitate Order (DNR) form?

The Illinois Do Not Resuscitate Order form is a legal document that allows a person to express their wishes regarding resuscitation efforts in the event of a medical emergency. It specifically indicates that the individual does not want to receive cardiopulmonary resuscitation (CPR) or other life-saving measures if their heart stops or they stop breathing.

Who can complete the DNR form?

Any adult who is of sound mind can complete the DNR form. This includes individuals who are terminally ill, have a serious medical condition, or simply wish to have control over their end-of-life care. In some cases, a legal guardian or healthcare proxy may also complete the form on behalf of an individual who cannot do so.

How do I obtain the DNR form?

The Illinois DNR form can be obtained from various sources, including:

• Healthcare providers, such as hospitals or doctors' offices
• The Illinois Department of Public Health website
• Local health departments or hospice organizations

What information is required on the DNR form?

The DNR form requires several key pieces of information, including:

1. The patient's name and date of birth
2. A statement indicating the patient's wishes regarding resuscitation
3. The signature of the patient or their authorized representative
4. The signature of a physician who is familiar with the patient's medical condition

Is the DNR form valid in all healthcare settings?

Yes, the Illinois DNR form is valid in all healthcare settings, including hospitals, nursing homes, and emergency medical services. However, it is important to ensure that the form is properly completed and signed to be recognized by healthcare providers.

Can I change my mind after completing the DNR form?

Yes, individuals can change their mind at any time after completing the DNR form. To revoke the order, a person should destroy the original form and inform their healthcare providers of the change in wishes. It is advisable to complete a new DNR form if you decide to establish a new set of preferences.

What happens if I do not have a DNR form?

If a person does not have a DNR form in place, healthcare providers are obligated to perform resuscitation efforts in the event of cardiac arrest or respiratory failure. This may not align with the individual's wishes if they prefer not to undergo such interventions.

Can family members override the DNR order?

Generally, family members cannot override a valid DNR order. The wishes expressed in the DNR form should be respected by healthcare providers. However, family discussions about end-of-life care are important, and they may influence decisions in some situations.

What should I do with the DNR form once it is completed?

Once the DNR form is completed and signed, it should be kept in a place where it is easily accessible. It is also recommended to provide copies to your healthcare provider, family members, and any other relevant parties. Displaying the form prominently, such as on the refrigerator or in a medical alert system, can help ensure it is seen in an emergency.

Is there a specific format for the DNR form?

The Illinois DNR form must follow the format prescribed by state law to be considered valid. It is essential to use the official form provided by the Illinois Department of Public Health or a healthcare provider. Any alterations or deviations from the official format may render the form invalid.

• Living Will: This document outlines a person's wishes regarding medical treatment in situations where they cannot communicate. Like a DNR, it guides healthcare providers on the individual's preferences.
• Advance Healthcare Directive: This comprehensive document combines a living will and a power of attorney for healthcare. It specifies medical treatment preferences and designates someone to make decisions on the individual's behalf.
• Power of Attorney for Healthcare: This allows a person to appoint someone else to make healthcare decisions for them. It can include preferences similar to those in a DNR.
• Physician Orders for Life-Sustaining Treatment (POLST): This form provides specific medical orders for patients with serious illnesses. It complements a DNR by detailing the types of medical interventions a patient does or does not want.
• Medical Orders for Scope of Treatment (MOST): Similar to POLST, this document outlines a patient's treatment preferences and is often used in emergency situations to ensure their wishes are respected.
• Affidavit of Gift: When transferring property ownership as a gift, refer to the official Affidavit of Gift resources to ensure all legal formalities are met.
• Healthcare Proxy: This document designates a trusted individual to make healthcare decisions when the patient is unable to do so. It often aligns with the wishes expressed in a DNR.
• Do Not Intubate (DNI) Order: This specific order indicates that a patient does not want to be placed on a ventilator. It complements a DNR by addressing respiratory support preferences.
• Comfort Care Order: This document focuses on providing comfort rather than curative treatment. It aligns with the principles of a DNR by prioritizing quality of life over aggressive interventions.
• Patient Bill of Rights: While not a medical directive, this document informs patients of their rights regarding treatment choices, including the right to refuse resuscitation efforts.

When considering end-of-life care, it is important to have various documents in place that reflect your wishes. Alongside the Illinois Do Not Resuscitate Order form, several other forms can help ensure your preferences are respected. Below is a list of commonly used documents that can complement your DNR order.

• Advance Directive: This document outlines your healthcare preferences in situations where you cannot speak for yourself. It can include instructions about medical treatments you want or do not want.
• Living Will: A type of advance directive, a living will specifically addresses end-of-life care decisions. It details your wishes regarding life-sustaining treatments.
• Durable Power of Attorney for Healthcare: This document allows you to appoint someone to make medical decisions on your behalf if you are unable to do so. It ensures that your healthcare preferences are followed.
• Physician Orders for Life-Sustaining Treatment (POLST): This form translates your wishes regarding treatment into actionable medical orders. It is particularly useful for those with serious health conditions.
• Organ Donation Registration: If you wish to donate your organs after death, this document allows you to register your intent. It ensures your wishes are known and respected.
• Do Not Intubate (DNI) Order: This document specifies that you do not wish to be intubated if you cannot breathe on your own. It is often used in conjunction with a DNR order.
• Dog Bill of Sale Form: If you're transferring ownership of a dog, it's important to utilize a legal document such as the California Documents Online Dog Bill of Sale form. This document ensures that all vital information about the dog is recorded for a smooth transaction.
• Emergency Medical Services (EMS) Do Not Resuscitate (DNR) Identification: This identification, often a bracelet or card, informs emergency responders of your DNR wishes in case of an emergency.
• Care Plan: A care plan outlines the specific types of care you wish to receive and any preferences regarding your living situation. It can include details about daily activities and support needed.

Having these documents in place can provide peace of mind, knowing your wishes will be respected. It is advisable to discuss these forms with your loved ones and healthcare providers to ensure everyone understands your preferences.

When considering the Illinois Do Not Resuscitate (DNR) Order form, it is essential to understand its purpose and how to properly fill it out. Here are some key takeaways:

• The DNR Order allows individuals to refuse resuscitation efforts in the event of cardiac arrest or respiratory failure.
• It is crucial to have a conversation with your healthcare provider before completing the form to ensure that your wishes are clear and understood.
• The form must be signed by both the patient and a physician to be valid.
• Once completed, the DNR Order should be kept in an easily accessible location, such as on the refrigerator or with other important medical documents.
• Family members should be informed about the existence of the DNR Order and its implications.
• Review the DNR Order regularly, especially after significant health changes or life events, to ensure it still reflects your wishes.
• The DNR Order can be revoked at any time by the patient, and this should be communicated to all relevant parties.