Do Not Resuscitate Orders, ID Bracelets & Experiences

Posted by joko @joko, Mar 27, 2023

Do you have a DNR (Do Not Resuscitate Order) with your primary care physician? Do you wear a medical ID bracelets/necklace with DNR instructions? What experiences have you (or if you are a caregiver) had with Medical IDs, specifically with the DNR orders? Is there anything critically important that you should consider before you put this on your id and what has happened to people who wear it. (I mean do the EMTs follow instructions?) Appreciate insights.

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Profile picture for dcain01 @dcain01

If the DNR does not stand during surgery, the doctor did not override it. He was following his Hipocratic Oath “First, Do no harm”. I’m sure this lady is glad to have had 10 more years with her family.

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Perhaps.

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I was told to keep a DNR on the refrigerator because EMTs are trained to look there. Mine basically says if I'm dead, DNR. Charming.

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That’s great information to have. Thanks for sharing it.

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Profile picture for hellopam @hellopam

I was told to keep a DNR on the refrigerator because EMTs are trained to look there. Mine basically says if I'm dead, DNR. Charming.

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@hellopam, that's better than mine. 2 inches across. a red line diagonally across it with just DNR in the middle. i've got to get a bigger one. i think i'll just make my own.

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Profile picture for isadora2021 @isadora2021

@kllevinson I wonder what the legality of that overriding individual doctor intervention is. It raises the question whether the particular doctor was acting on his own beliefs outside the law, or acting within the law.

My attorney under enduring POA and my Guardian perhaps will need to be careful to choose a doctor who respects DNRs.

It’s extremely disappointing. I am living with incurable stage 4 appendix cancer.

I’ve chosen my POA and Guardian carefully to fight for my rights, but I hadn’t factored in doctors who veer towards saving life in the face of a DNR 🤔

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@isadora2021, i don't know anymore. i keep reading here that they don't count while in surgery. i thought that was the whole point of having one. IDK anymore. we need to check this out more legally i believe. it'd be best to know for sure.

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Profile picture for dcain01 @dcain01

If the DNR does not stand during surgery, the doctor did not override it. He was following his Hipocratic Oath “First, Do no harm”. I’m sure this lady is glad to have had 10 more years with her family.

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@dcain01. The doctor actually chose to DO something against an adult’s patient’s express wishes. That’s what interests me about DNR.

The patient says there are days when being alive is not worth it.

I do believe that many doctors place quantity ahead of quality against patient’s express wishes.

I have a great relationship with my oncologist treating me for stage 4 appendix cancer and he knows how important quality is to me over quantity.

He has no right to override my wishes and I trust him not to.

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Profile picture for Becky, Volunteer Mentor @becsbuddy

@kllevinson Just thought I’d let everyone know that a DNR order does not stand during surgery. Odd, but true. Patients who have a DNR often get the surgery to have a better quality of life.
Has your life improved at all since surgery?

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I have since learned from further research that there is mixed opinion on DNR status during surgery. It seems that there are many factors involved. Best bet is to talk with your doctor. Talking with the surgeon pre-surgery is another matter.

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Profile picture for danny67 @danny5

@isadora2021, i don't know anymore. i keep reading here that they don't count while in surgery. i thought that was the whole point of having one. IDK anymore. we need to check this out more legally i believe. it'd be best to know for sure.

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@danny5 I’ve done a bit of research. Interesting and in accordance with my expectations.

It seems that a DNR which is properly documented (that needs to be emphasised!) is legally binding on medical professionals and they can face legal consequences if they ignore it.
https://my.clevelandclinic.org/health/articles/8866-do-not-resuscitate-orders
https://pmc.ncbi.nlm.nih.gov/articles/PMC8996286/
A DNR is not binding on people who aren’t medical professionals.

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Profile picture for isadora2021 @isadora2021

@danny5 I’ve done a bit of research. Interesting and in accordance with my expectations.

It seems that a DNR which is properly documented (that needs to be emphasised!) is legally binding on medical professionals and they can face legal consequences if they ignore it.
https://my.clevelandclinic.org/health/articles/8866-do-not-resuscitate-orders
https://pmc.ncbi.nlm.nih.gov/articles/PMC8996286/
A DNR is not binding on people who aren’t medical professionals.

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@isadora2021, thank you for finding these and posting them. it is very imperative that everyone here read both articles. do not hesitate to read them both. Daniel

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Profile picture for isadora2021 @isadora2021

@dcain01. The doctor actually chose to DO something against an adult’s patient’s express wishes. That’s what interests me about DNR.

The patient says there are days when being alive is not worth it.

I do believe that many doctors place quantity ahead of quality against patient’s express wishes.

I have a great relationship with my oncologist treating me for stage 4 appendix cancer and he knows how important quality is to me over quantity.

He has no right to override my wishes and I trust him not to.

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I completely believe that the entire medical system is geared toward quantity of life rather than quality of life. Medical professionals rarely have to defend against making decisions that produce a poor life quality, and do have to defend (expensively) against decisions that can be interpreted as shortening someone's life.

This unfortunately can make prioritizing quality over quantity an act of moral courage. And most of us are not known for our moral courage. I fail to see why the average medical professional should be any different from the rest of us in that regard.

In addition, I'm sure it's true that when face to face with a specific situation rather than an abstract circumstances, people change their minds. I'm staring down the eventual barrel of Alzheimer's. Is what I want now going to be different than what I want when I'm past the MCI stage? Beats me.

Until quite recently from a historical and cultural perspective, we all just died of stuff. And choosing when or whether to die was not something most of us had to struggle with, including people in the medical profession. In the meantime, we're stuck at the point when society is figuring this out, it's hard, and the wrong answer happens more than it should.

I like the hospice suggestion. Also having a good personal relationship with your key medical professionals (so they know you as a human rather than a cluster of symptoms), and going on record wherever you can about your preferences.

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