Someone asked me recently if a DNR was the same as a living will.  A DNR is another kind of advance directive, but it is different than a living will.  As I previously wrote on this blog, a living will covers a person’s wishes with respect to their health care in the event they cannot speak for themselves.  A DNR is a very narrow and specific medical order that specifies medical professionals should not administer lifesaving procedures in the event someone’s heart stops or they stop breathing.  Basically, it’s a statement by that individual to allow them to pass away without CPR or an attempt to revive them.  DNR orders are put into place when an individual is severely ill and its believed that CPR would only delay the inevitable.  Most hospitals ask patients at the point of admission whether they want to be resuscitated.  DNRs are usually attached to a patient’s chart.  Without a DNR, hospital staff will take measures to revive a patient.  Keep in mind that a DNR order does not state that no treatment at all should be given -- just that the patient does not want to be resuscitated.

As with most legal documents, there are various state-specific requirements and forms for DNRs, so you should consult with a local attorney or knowledgeable hospital staff.  Generally, DNRs must be signed by the senior and two physicians.  If you are caring for a parent or family member at home, you could also seek to have in place a “nonhospital DNR”, which will release a paramedic from their duty to resuscitate.