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The Missouri Do Not Resuscitate (DNR) Order form serves as a critical document for individuals who wish to communicate their preferences regarding medical interventions in the event of a cardiac or respiratory arrest. This form allows patients to indicate their desire not to receive cardiopulmonary resuscitation (CPR) or other life-sustaining measures. It is designed to ensure that healthcare providers respect the wishes of patients, particularly those with terminal illnesses or severe, irreversible conditions. The DNR Order must be signed by a physician and can be presented in various healthcare settings, including hospitals, nursing homes, and at home. Additionally, the form requires clear identification of the patient and must be readily accessible to medical personnel. Understanding the implications of the DNR Order is essential for patients and their families, as it facilitates informed decision-making about end-of-life care and helps to prevent unnecessary suffering in critical situations.

Similar forms

The Missouri Do Not Resuscitate (DNR) Order form shares similarities with the Advance Directive, a legal document that outlines a person's preferences for medical treatment in the event they become unable to communicate their wishes. Both documents serve to express an individual's desires regarding life-sustaining treatments. While the DNR specifically addresses resuscitation efforts, the Advance Directive can cover a broader range of medical interventions, including the use of feeding tubes or ventilators. This allows individuals to have a more comprehensive say in their healthcare decisions.

Another related document is the Medical Power of Attorney. This form designates a trusted person to make healthcare decisions on behalf of an individual if they become incapacitated. Like the DNR, it emphasizes the importance of personal choice in medical care. However, the Medical Power of Attorney can encompass a wide array of decisions beyond resuscitation, allowing the appointed agent to act in accordance with the individual's values and preferences in various medical situations.

The Living Will is also comparable to the DNR Order. This document explicitly states an individual's wishes regarding end-of-life care, particularly in situations where they are terminally ill or in a persistent vegetative state. Both the Living Will and the DNR aim to ensure that a person's healthcare aligns with their beliefs and desires. While the DNR focuses on resuscitation efforts, the Living Will can address other critical medical treatments, offering a more extensive view of a person's end-of-life preferences.

The Physician Orders for Life-Sustaining Treatment (POLST) form bears resemblance to the DNR Order as well. POLST is a medical order that translates a patient's preferences for treatment into actionable medical orders for healthcare providers. Like the DNR, it is intended for individuals with serious illnesses or those nearing the end of life. The POLST form can include instructions about resuscitation, but it also covers other interventions such as hospitalization and antibiotics, making it a more comprehensive document for managing serious health conditions.

The Comfort Care Order is another document that aligns with the principles of the DNR. This order focuses on providing relief from pain and discomfort rather than aggressive life-sustaining treatments. While the DNR directs healthcare providers not to perform resuscitation, the Comfort Care Order ensures that patients receive compassionate care aimed at improving their quality of life. Both documents emphasize the importance of prioritizing patient comfort and dignity in medical decision-making.

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The Do Not Intubate (DNI) Order is closely related to the DNR Order, as it specifically addresses the use of intubation to assist with breathing. While a DNR prevents resuscitation efforts, a DNI indicates that a patient does not wish to be placed on a ventilator. Both documents reflect a person's preferences regarding life-sustaining measures and highlight the importance of respecting individual choices in healthcare settings.

The Health Care Proxy is another important document that relates to the DNR Order. This form allows individuals to appoint someone to make healthcare decisions on their behalf if they are unable to do so. While the DNR specifies preferences regarding resuscitation, the Health Care Proxy empowers a designated person to make decisions that align with the individual's values and wishes. This connection emphasizes the need for clear communication and understanding among family members and healthcare providers.

The End-of-Life Care Plan also shares similarities with the DNR Order. This comprehensive plan outlines a patient's preferences for care as they approach the end of life, including their wishes regarding resuscitation and other medical interventions. Both documents aim to honor the individual's desires, ensuring that their treatment aligns with their values during a critical time. The End-of-Life Care Plan may encompass a wider range of considerations, including emotional and spiritual support, while the DNR focuses specifically on resuscitation efforts.

Lastly, the Hospice Care Plan is akin to the DNR Order in that both documents prioritize comfort and quality of life for individuals with terminal conditions. The Hospice Care Plan is designed to provide comprehensive support, including pain management and emotional care, while the DNR specifically addresses resuscitation preferences. Both documents emphasize the significance of patient-centered care, ensuring that individuals receive the support they need during their final stages of life.

Document Overview

Fact Name Description
Definition The Missouri Do Not Resuscitate (DNR) Order form allows individuals to express their wish not to receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest.
Governing Law The DNR Order in Missouri is governed by the Missouri Revised Statutes, specifically Section 190.245, which outlines the legal framework for advance directives and DNR orders.
Eligibility Any adult, or a minor with parental consent, can complete a DNR Order form in Missouri, ensuring that their healthcare preferences are respected in critical situations.
Signature Requirement The DNR Order must be signed by the individual or their legally authorized representative, along with the signature of a physician to validate the order.
Revocation Individuals can revoke a DNR Order at any time. This can be done verbally or in writing, ensuring that personal healthcare decisions remain flexible and up-to-date.

Sample - Missouri Do Not Resuscitate Order Form

Missouri Do Not Resuscitate Order

This Do Not Resuscitate Order (DNR) is created in accordance with Missouri state laws governing such orders. It is intended to communicate the wishes of the patient regarding resuscitation efforts in the event of cardiac or respiratory arrest.

Patient Information:

  • Name: _______________________________
  • Date of Birth: ________________________
  • Address: ______________________________
  • City, State, Zip: ______________________

Physician Information:

  • Physician's Name: ________________________
  • Physician's License Number: ______________
  • Physician's Contact Information: ____________

Patient's Wishes:

The patient, named above, does not wish to receive resuscitative measures in the event of cardiac or respiratory arrest. This decision has been made voluntarily and after thorough discussion with healthcare professionals.

Signature:

  • Patient's Signature: ____________________
  • Date: ______________________________

Witness Verification:

The undersigned, having witnessed the signing of this document, verify that the patient is of sound mind and understands the implications of this order.

  • Witness Name: ________________________
  • Witness Signature: _____________________
  • Date: ______________________________

This DNR Order remains in effect until revoked in writing. It should be provided to emergency medical personnel and healthcare providers as necessary.