What happens if I sign a DNR?

Understanding the Impact of a Do Not Resuscitate (DNR) Order

Imagine you’re in the hospital, faced with a tough decision about your future medical care. A doctor hands you a form labeled Do Not Resuscitate (DNR) and explains that signing it means medical staff won’t perform CPR if your heart stops or if you stop breathing. But what does that really mean? What happens if you sign a DNR, and how does it affect your medical treatment and legal rights?

In this guide, we’ll break down everything you need to know about DNR orders, including what they do, who should consider one, and how they impact your healthcare.

What Is a DNR?

A Do Not Resuscitate (DNR) order is a legally binding medical directive that instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) if a patient’s breathing or heart stops. It does not mean doctors will withhold all medical care—it only applies to resuscitation efforts.

Key Points About a DNR Order:

• It only prevents CPR (chest compressions, defibrillation, or intubation).
• It does not affect pain management, antibiotics, or other forms of medical care.
• It can be part of a broader advance directive or living will.
• It must be signed by a doctor to be valid.
• It can be revoked at any time by the patient.

What Happens After You Sign a DNR?

Signing a DNR order has several implications for your medical care, legal rights, and interactions with emergency responders.

1. In a Hospital Setting

If you experience cardiac arrest or respiratory failure, the medical team will not attempt CPR or advanced life support. However, they will continue to provide comfort care, which includes:

• Pain relief (morphine, oxygen therapy, etc.)
• Emotional support for you and your family
• Basic medical interventions to ease symptoms

2. In a Nursing Home or Hospice Care

Long-term care facilities and hospice programs are familiar with DNR orders and will honor them. Staff will focus on quality of life, ensuring comfort rather than aggressive medical interventions.

3. If Emergency Medical Services (EMS) Are Called

Without a properly documented DNR order, EMS responders are legally required to perform CPR if you stop breathing or your heart stops. To prevent unwanted resuscitation:

• Keep a DNR bracelet or wallet card with you.
• Ensure a copy of your DNR is easily accessible at home.
• Inform family members and caregivers about your decision.
• References:
• American Medical Association (AMA)
• Health and Human Services (HHS)
• National Institutes of Health (NIH)

Who Should Consider a DNR?

DNR orders are typically recommended for individuals who:

• Have terminal illnesses (e.g., late-stage cancer, advanced dementia).
• Are elderly and do not want aggressive medical interventions.
• Have severe chronic conditions (e.g., advanced heart failure, COPD).
• Have expressed a personal or religious preference against resuscitation.

If you’re unsure whether a DNR is right for you, consult with your doctor and family members to discuss your long-term health goals.

How to Make Your DNR Official

To ensure your DNR is legally recognized, follow these steps:

1. Talk to Your Doctor – They can help you understand the risks and benefits of CPR based on your medical condition.
2. Complete the Official Forms – A DNR must be signed by a physician to be legally valid.
3. Inform Your Family & Caregivers – Make sure loved ones and healthcare providers are aware of your decision.
4. Display the DNR Order Prominently – Keep copies at home, with your medical records, and consider wearing a DNR bracelet.

Can You Revoke a DNR?

Yes! A DNR order can be revoked at any time by the patient, family (if the patient is incapacitated), or a legally designated healthcare proxy. To revoke a DNR:

• Inform your doctor and request a new directive.
• Destroy any copies of the previous DNR.
• Update your medical records and inform family members.

Frequently Asked Questions (FAQs)

1. Can a hospital refuse to treat me if I have a DNR?

No. A DNR only applies to resuscitation efforts. You will still receive full medical care, including pain management, medications, and necessary treatments for comfort.

2. Can a family member override my DNR?

No, as long as you are mentally competent when signing it. However, if you become incapacitated and haven’t designated a healthcare proxy, legal battles may arise.

3. Does a DNR mean I won’t get any emergency treatment?

No. If you have a medical emergency unrelated to cardiac or respiratory arrest (e.g., a fall, stroke, or infection), doctors will still provide appropriate treatment.

4. Is a DNR valid in all states?

DNR laws vary by state, so it’s important to check local regulations. Some states require specific out-of-hospital DNR forms for EMS responders.

5. Can I get a DNR if I’m young and healthy?

Technically, yes. However, DNRs are usually recommended for those with serious health conditions or strong personal beliefs against resuscitation.

Final Thoughts

Signing a DNR is a deeply personal decision that requires thoughtful consideration. It doesn’t mean giving up on medical care—it simply ensures that your healthcare preferences are honored. If you’re considering a DNR, talk to your doctor, inform your loved ones, and keep legal documentation readily available.

By taking these steps, you can have peace of mind knowing that your wishes will be respected in critical situations.

Need help setting up a DNR or advance directive? Consult with a medical professional or estate planning attorney to ensure your legal and medical documents are properly in place.