Free Do Not Resuscitate Order Form for Illinois State Launch Do Not Resuscitate Order Editor

Free Do Not Resuscitate Order Form for Illinois State

A Do Not Resuscitate (DNR) Order form in Illinois is a legal document that allows individuals to express their wishes regarding medical treatment in emergency situations. By completing this form, a person can indicate that they do not want resuscitation efforts, such as CPR, if their heart stops or they stop breathing. Understanding this form is essential for ensuring that your healthcare preferences are respected during critical moments.

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Other Common Do Not Resuscitate Order State Templates

Common mistakes

  1. Incomplete Information: Many individuals fail to provide all necessary personal information, such as full name, date of birth, and signature. This can lead to complications when the order is needed.

  2. Not Discussing with Healthcare Providers: Some people neglect to discuss their wishes with their doctors or healthcare team. This can result in misunderstandings about the order’s intent and its implications.

  3. Not Updating the Form: A common mistake is not revisiting or updating the Do Not Resuscitate Order as personal circumstances change. Life events such as a serious illness or a change in health status should prompt a review.

  4. Failing to Inform Family Members: It is crucial to communicate your wishes to family members. Failing to do so can lead to confusion and emotional distress during critical moments.

  5. Using Incorrect or Outdated Forms: Some individuals may use outdated versions of the form or forms that are not recognized by Illinois law. It is essential to ensure that the correct and current form is used.

Documents used along the form

The Illinois Do Not Resuscitate Order form is an essential document for individuals who wish to communicate their preferences regarding medical treatment in emergencies. However, several other forms and documents complement this order, ensuring that a person's wishes are clearly understood and respected. Below is a list of these important documents.

  • Advance Directive: This document outlines an individual’s healthcare preferences in situations where they cannot communicate. It can include instructions about medical treatments and appoint a healthcare proxy.
  • Power of Attorney for Healthcare: This legal document allows a person to designate someone to make medical decisions on their behalf if they become incapacitated. It ensures that their healthcare preferences are honored.
  • Living Will: A living will specifies what types of medical treatment a person does or does not want at the end of life. This document provides guidance to healthcare providers and family members.
  • Physician Orders for Life-Sustaining Treatment (POLST): This form translates a patient’s wishes regarding life-sustaining treatment into actionable medical orders. It is particularly useful for those with serious illnesses.
  • Healthcare Proxy Appointment: This document appoints a specific individual to make healthcare decisions on behalf of the patient. It is similar to a power of attorney but focused solely on medical decisions.
  • Do Not Hospitalize (DNH) Order: This order indicates that a patient does not wish to be hospitalized under certain circumstances. It is often used in conjunction with other advance care planning documents.

Having these documents in place can provide peace of mind for individuals and their families. They ensure that healthcare preferences are clearly articulated and respected, particularly during critical moments when decisions must be made quickly.

Key takeaways

When filling out and using the Illinois Do Not Resuscitate Order (DNR) form, it is essential to understand the following key points:

  • The DNR form allows individuals to express their wishes regarding resuscitation efforts in case of cardiac arrest.
  • Only a physician can sign the DNR order, confirming that the patient has made an informed decision.
  • The form must be filled out completely and accurately to be valid.
  • Patients must be competent to make the decision when signing the DNR form.
  • Once signed, the DNR order should be kept in an easily accessible location, such as with the patient’s medical records or on their person.
  • Healthcare providers are required to honor the DNR order as long as it is valid and properly executed.
  • The DNR order does not affect other medical treatments; it specifically pertains to resuscitation efforts.
  • Family members or legal representatives may be involved in discussions but cannot sign the order on behalf of the patient.
  • The DNR order can be revoked at any time by the patient, verbally or in writing.
  • It is advisable to review the DNR order regularly, especially if the patient’s health status changes.

Understanding these points ensures that the DNR form is utilized effectively and in accordance with the patient’s wishes.

Similar forms

The Illinois Do Not Resuscitate (DNR) Order form shares similarities with a Living Will. A Living Will is a legal document that outlines an individual's preferences regarding medical treatment in situations where they are unable to communicate their wishes. Both documents serve to express a person's desires concerning life-sustaining treatments, particularly in end-of-life scenarios. The primary distinction lies in the fact that a Living Will may address a broader range of medical interventions beyond resuscitation, such as artificial nutrition and hydration.

Another document akin to the Illinois DNR Order is the Medical Power of Attorney. This document designates an individual to make healthcare decisions on behalf of another person if they become incapacitated. While the DNR Order specifically addresses resuscitation efforts, the Medical Power of Attorney encompasses a wider array of medical decisions, allowing the appointed agent to act in accordance with the principal's wishes, including those related to resuscitation.

The Advance Healthcare Directive is also comparable to the Illinois DNR Order. This directive combines elements of both a Living Will and a Medical Power of Attorney, allowing individuals to specify their medical treatment preferences while also appointing a healthcare agent. Like the DNR, it can provide guidance on whether to pursue or forego resuscitation efforts, ensuring that medical care aligns with the individual's values and wishes.

Similar to the DNR Order is the Physician Orders for Life-Sustaining Treatment (POLST). This form is designed for individuals with serious health conditions and translates their treatment preferences into actionable medical orders. Both the POLST and the DNR Order aim to communicate the patient’s wishes regarding resuscitation, but the POLST form can include additional instructions for other types of medical interventions, making it more comprehensive in certain cases.

The Healthcare Proxy is another document that parallels the Illinois DNR Order. This legal instrument allows an individual to appoint someone to make healthcare decisions on their behalf. While the DNR Order specifically instructs medical personnel not to perform resuscitation, a Healthcare Proxy can provide guidance on a range of medical decisions, including those related to resuscitation, based on the principal's preferences.

The Comfort Care Order is similar to the DNR Order in its focus on patient comfort rather than aggressive medical interventions. This document outlines a patient’s desire to receive palliative care and avoid life-sustaining treatments. Both documents prioritize the patient's comfort and quality of life, but the Comfort Care Order emphasizes symptom management and alleviation of suffering rather than addressing specific resuscitation efforts.

The Do Not Intubate (DNI) Order is another document that aligns with the principles of the Illinois DNR Order. A DNI Order specifically instructs healthcare providers not to insert a breathing tube in the event of respiratory failure. While the DNR Order addresses all forms of resuscitation, the DNI focuses solely on interventions related to airway management, making it a more targeted approach for patients who wish to avoid invasive procedures.

Lastly, the End-of-Life Care Plan can be compared to the Illinois DNR Order. This document outlines a comprehensive approach to care for individuals nearing the end of life, including preferences for resuscitation and other medical interventions. Both the End-of-Life Care Plan and the DNR Order seek to honor the patient’s wishes, ensuring that the care provided aligns with their values and goals during their final days.

Dos and Don'ts

When filling out the Illinois Do Not Resuscitate Order form, it’s important to follow specific guidelines to ensure that your wishes are accurately documented. Here are some essential dos and don’ts:

  • Do discuss your wishes with your healthcare provider to ensure they understand your preferences.
  • Do clearly fill out all required sections of the form, including your name and signature.
  • Do keep a copy of the completed form for your records and share it with family members.
  • Do review the form periodically to make sure it still reflects your wishes.
  • Don't use the form if you are unsure about your decision; seek guidance first.
  • Don't forget to sign and date the form, as it is crucial for its validity.

By adhering to these guidelines, you can ensure that your Do Not Resuscitate Order is properly completed and respected. Always prioritize open communication with your healthcare team and loved ones regarding your healthcare choices.

File Specifics

Fact Name Description
Definition The Illinois Do Not Resuscitate (DNR) Order form is a legal document that allows individuals to refuse resuscitation efforts in the event of cardiac or respiratory arrest.
Governing Law This form is governed by the Illinois DNR Law, which is outlined in the Illinois Compiled Statutes, 410 ILCS 50/1 et seq.
Eligibility Any adult can complete a DNR Order, provided they have the capacity to make their own healthcare decisions.
Signature Requirement The DNR Order must be signed by the individual, and it also requires the signature of a physician to be valid.
Revocation A DNR Order can be revoked at any time by the individual, either verbally or by destroying the form.