Homepage Legal Do Not Resuscitate Order Form for the State of Maine

Similar forms

The Maine Do Not Resuscitate (DNR) Order form shares similarities with the Advance Healthcare Directive. An Advance Healthcare Directive allows individuals to outline their preferences for medical treatment and appoint a healthcare proxy. Like the DNR, this document ensures that a person’s wishes regarding life-sustaining measures are respected, especially in situations where they cannot communicate their desires. Both documents aim to provide clarity and peace of mind regarding end-of-life care.

Another document akin to the DNR is the Physician Orders for Life-Sustaining Treatment (POLST) form. The POLST form translates a patient’s wishes into actionable medical orders. Unlike the DNR, which specifically addresses resuscitation, the POLST can cover a broader range of medical interventions. Both documents empower patients to communicate their healthcare preferences and ensure that medical teams understand their choices in critical situations.

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The Living Will is another important document that parallels the DNR. A Living Will allows individuals to specify what types of medical treatment they do or do not want in the event they become incapacitated. Similar to the DNR, a Living Will focuses on end-of-life decisions, ensuring that healthcare providers honor the patient’s wishes regarding life-sustaining treatments.

Healthcare Power of Attorney is also similar to the DNR Order. This document designates a trusted person to make healthcare decisions on behalf of an individual if they are unable to do so. While the DNR specifies preferences about resuscitation, the Healthcare Power of Attorney can encompass a wider range of medical decisions. Both documents work together to ensure that a person’s healthcare choices are respected.

The Medical Orders for Life-Sustaining Treatment (MOLST) form is another document that aligns with the DNR. Like the POLST, the MOLST provides specific medical orders based on a patient’s preferences regarding life-sustaining treatments. Both documents are designed to be easily understood by healthcare providers and ensure that patients receive care consistent with their wishes.

Another similar document is the Do Not Intubate (DNI) Order. While the DNR specifically addresses resuscitation efforts, the DNI focuses on the patient’s wishes regarding intubation and mechanical ventilation. Both documents serve to clarify a patient’s preferences about life support and ensure that medical teams act in accordance with those wishes.

The Comfort Care Order is also comparable to the DNR. This document emphasizes palliative care and comfort measures rather than aggressive treatment. While the DNR directs healthcare providers to refrain from resuscitation, the Comfort Care Order ensures that patients receive compassionate care that prioritizes their comfort in end-of-life situations.

The Do Not Hospitalize (DNH) Order is another document that shares similarities with the DNR. A DNH Order indicates that a patient should not be transferred to a hospital for treatment, focusing instead on providing care in a more familiar or comfortable setting. Like the DNR, this document aims to respect the patient’s wishes regarding the type of care they receive in critical circumstances.

Lastly, the End-of-Life Care Plan can be seen as similar to the DNR. This comprehensive document outlines a patient’s wishes for their final days, including preferences for medical treatment, pain management, and emotional support. While the DNR specifically addresses resuscitation, the End-of-Life Care Plan encompasses a broader view of what a person desires during their last moments, ensuring that their overall wishes are honored.

Misconceptions

Understanding the Maine Do Not Resuscitate (DNR) Order form is crucial for patients and their families. However, several misconceptions can lead to confusion. Here are nine common misconceptions:

  1. A DNR order means no medical treatment at all. This is false. A DNR order specifically addresses resuscitation efforts in the event of cardiac arrest. Other medical treatments can still be administered.
  2. Only terminally ill patients can have a DNR order. This misconception is incorrect. Anyone can request a DNR order, regardless of their diagnosis, if they wish to avoid resuscitation.
  3. A DNR order is permanent and cannot be changed. This is not true. Patients or their authorized representatives can revoke or modify a DNR order at any time.
  4. Healthcare providers must follow a DNR order without question. While healthcare providers are generally required to honor a DNR order, they must also ensure that it is valid and properly executed.
  5. A DNR order is only valid in a hospital setting. This is misleading. A DNR order can be valid in various settings, including at home or in long-term care facilities, as long as it is properly documented.
  6. Having a DNR order means you will receive less care. This is a misconception. A DNR order does not imply a lack of care; it simply specifies preferences regarding resuscitation.
  7. All DNR orders are the same across states. This is false. DNR orders can vary by state, and it is essential to use the specific form for Maine to ensure it is recognized.
  8. Family members can override a DNR order. This is not accurate. A valid DNR order must be respected, and family members cannot override it unless they have legal authority to do so.
  9. Once signed, a DNR order cannot be discussed with family. This is misleading. It is important for patients to communicate their wishes with family members and discuss the implications of a DNR order.

Addressing these misconceptions can help ensure that patients' wishes are understood and respected in critical situations.

Documents used along the form

The Maine Do Not Resuscitate (DNR) Order form is an important document that communicates a patient's wishes regarding resuscitation efforts in the event of a medical emergency. However, it is often used in conjunction with other forms and documents that help ensure a comprehensive approach to healthcare planning. Below is a list of related documents that individuals may consider when creating their advance healthcare directives.

  • Advance Directive: This document outlines a person's preferences for medical treatment if they become unable to communicate their wishes. It can include specific instructions about various treatments and appoints a healthcare proxy to make decisions on behalf of the patient.
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  • Healthcare Proxy: This legal form designates someone to make medical decisions for an individual if they are incapacitated. The appointed person should be someone the individual trusts to honor their wishes and advocate for their care.
  • Living Will: A living will is a specific type of advance directive that details a person's preferences regarding life-sustaining treatments. It is particularly useful for situations where a patient is terminally ill or in a persistent vegetative state.
  • Physician Orders for Life-Sustaining Treatment (POLST): This medical order translates a patient's preferences regarding life-sustaining treatments into actionable medical orders. It is designed for individuals with serious illnesses and ensures that their wishes are respected by healthcare providers.
  • Do Not Intubate (DNI) Order: Similar to a DNR, a DNI order specifies that a patient does not wish to be intubated if they are unable to breathe on their own. This document can be part of a broader advance directive.
  • Organ Donation Form: This form indicates a person's wishes regarding organ donation after death. It can be included in advance care planning to ensure that healthcare providers are aware of the individual's intentions.
  • Patient Information Form: This form collects essential information about a patient, including medical history, allergies, and current medications. It helps healthcare providers deliver appropriate care and can support the decisions made in other documents.

Each of these documents plays a vital role in ensuring that a person's healthcare preferences are respected and followed. Together, they create a clearer picture of an individual's wishes, allowing healthcare providers and loved ones to make informed decisions during critical moments.

Form Preview Example

Maine Do Not Resuscitate Order

This document serves as a Do Not Resuscitate (DNR) Order in accordance with the laws of the state of Maine. This order indicates that, in the event of a cardiac or respiratory arrest, resuscitative measures should not be taken.

Patient Information:

  • Name: ___________________________
  • Date of Birth: ____________________
  • Address: _________________________
  • Phone Number: ___________________

Physician Information:

  • Name: ___________________________
  • License Number: _________________
  • Contact Number: _________________

Order Details:

I, the undersigned patient, voluntarily declare my wishes regarding resuscitation. I do not wish to receive CPR or other life-saving measures in the event of cardiac or respiratory arrest. This decision has been made after an understanding of my medical condition and prognosis.

Signature:

Patient Signature: ________________________

Date: ________________

Witness Information:

  • Name: ___________________________
  • Signature: ________________________
  • Date: ________________

This order must be honored by all healthcare personnel in Maine as long as it is filled out completely and accurately. Make copies for your healthcare provider and family members.

File Information

Fact Name Description
Purpose The Maine Do Not Resuscitate (DNR) Order form is designed to communicate a patient's wishes regarding resuscitation efforts in the event of cardiac or respiratory arrest.
Governing Law The DNR Order in Maine is governed by Title 22, Chapter 206 of the Maine Revised Statutes.
Eligibility Any adult patient can complete a DNR Order, and it must be signed by the patient or their legal representative.
Medical Professional Involvement A physician must sign the DNR Order for it to be valid, ensuring that it aligns with medical standards and patient needs.
Revocation Patients have the right to revoke their DNR Order at any time, and this can be done verbally or in writing.
Form Availability The DNR Order form is available through healthcare providers, hospitals, and online resources provided by the state.
Emergency Services Emergency medical personnel are trained to recognize DNR Orders and must honor them in the field.
Advance Care Planning Having a DNR Order is part of broader advance care planning, which includes discussions about end-of-life preferences.
Identification It is recommended that individuals carry a copy of their DNR Order or wear a medical alert bracelet indicating their DNR status.
Impact on Treatment A DNR Order specifically addresses resuscitation efforts and does not affect other medical treatments or care decisions.

Detailed Guide for Using Maine Do Not Resuscitate Order

Filling out the Maine Do Not Resuscitate Order form is an important step in expressing your healthcare preferences. This process involves providing specific information to ensure your wishes are respected in medical situations. Below are the steps to guide you through completing the form accurately.

  1. Obtain the Maine Do Not Resuscitate Order form from a reliable source, such as a healthcare provider or the Maine Department of Health and Human Services website.
  2. Read the instructions carefully to understand the requirements and implications of the form.
  3. Fill in your full name, date of birth, and any other identifying information requested on the form.
  4. Designate a healthcare representative, if desired, by providing their name and contact information.
  5. Clearly indicate your wishes regarding resuscitation by checking the appropriate box on the form.
  6. Sign and date the form in the designated areas to validate your decision.
  7. Have the form witnessed by two individuals who are not related to you and who do not stand to benefit from your estate.
  8. Make copies of the completed form for your records and for your healthcare provider.
  9. Discuss your decision and the contents of the form with your healthcare team to ensure they understand your wishes.