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Advance Health Care Directives Part 2 The most common end-of-life medical decisions that you, family members or an appointed healthcare agent must make involve:
◆ Cardiopulmonary Resuscitation (CPR)
◆ Do Not Resuscitate Order (DNR)
◆ Do Not Intubate Order (DNI)
◆ Artificial Nutrition and Hydration
Cardiopulmonary resuscitation (CPR) is a group of procedures used when your heart stops (cardiac arrest) or breathing stops (respiratory arrest). For cardiac arrest the treatment may include chest compressions, electrical stimulation or use of medication to support or restore the heart’s ability to function. For respiratory arrest treatment may include insertion of a tube through your mouth or nose into the trachea (wind pipe that connects the throat to the lungs) to artificially support or restore your breathing function. The tube placed in your body is connected to a mechanical ventilator.A Do Not Resuscitate (DNR) order is a written physician’s order that prevents the healthcare team from initiating CPR. The physician writes and signs a DNR at your request or at the request of your family or appointed healthcare agent if you do not want to receive CPR in the event of cardiac or respiratory arrest. The DNR order must be signed by a doctor otherwise, it cannot be honored. DNR orders:Can be cancelled at any time by letting the doctor who signed the DNR know that you have changed your decision.Remain in effect if you transfer from one healthcare facility to another. However, consult the arrival facility’s policy to make sure. Also, the DNR may not be honored if you are discharged from the facility to your home if your state does not have an out-of-hospital DNR policy. May not be honored during surgery but this is something very important to discuss with your surgeon and anesthesiologist before surgery so your wishes are honored. Should be posted in the home if that is where you are being cared for. If there is no DNR order, the healthcare team will respond to the emergency and perform CPR. The team will not have time to consult a living will, the family, the patient’s healthcare agent or the patient’s doctors if they are not present. When you request a DNR order, your physician may ask if you also wish to have a “do-not-intubate” order. Intubation is the placement of a tube into the nose or mouth in order to have it enter your windpipe (trachea) to help you breathe when you cannot breathe adequately yourself. Intubation might prevent a heart attack or respiratory arrest. For more information about the health care directives, contact Lex Omni attorney today. Time is of the essence.

 
   
   
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LEX OMNILAW OFFICE

 
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