What is a DNR (or Do Not Resuscitate order)?
Understanding DNRs in California: A Guide for Your Estate Plan
As an estate planning attorney, one of the critical discussions I frequently have with my clients involves advanced healthcare directives and specific medical orders, such as Do Not Resuscitate (DNR) orders. Understanding what a DNR is and how it fits into your overall estate plan is essential for ensuring that your wishes regarding medical treatment are honored, especially in emergency situations.
What is a DNR?
In California, a Do Not Resuscitate (DNR) order is a medical order that tells healthcare providers not to perform cardiopulmonary resuscitation (CPR) if a patient’s heart stops or if they stop breathing. This directive is typically used for individuals who are facing a terminal illness or have a medical condition where resuscitation would not provide a meaningful recovery.
Why a DNR is Important in Estate Planning
Including a DNR in your estate plan is a critical step for several reasons:
Clarifying Medical Wishes: A DNR order clearly expresses your wishes regarding end-of-life care, ensuring that healthcare providers know your preferences. This is particularly important in situations where you may be unable to communicate your desires.
Preventing Unwanted Interventions: Many individuals do not wish to receive aggressive medical interventions if they are unlikely to recover to a quality of life they desire. A DNR helps prevent unwanted resuscitation efforts that may prolong suffering.
Reducing Family Conflict: Having a DNR in place minimizes the burden on family members during emotionally charged situations. It helps avoid potential conflicts among family members regarding your medical treatment wishes.
Enhancing Comprehensive Estate Planning: A DNR should be part of a broader estate plan that includes an advance healthcare directive (AHCD) and other relevant documents. Together, these components work to ensure that your medical, financial, and personal wishes are understood and respected.
Integrating a DNR into Your Overall Estate Plan
When integrating a DNR into your estate plan, consider the following steps:
Consult with Healthcare Professionals: Discuss your healthcare priorities and preferences with your doctor. They can provide insights into the implications of a DNR and help you understand how it aligns with your medical situation.
Draft an Advance Healthcare Directive: This document not only allows you to appoint a healthcare agent to make medical decisions on your behalf but also provides a space to detail your specific wishes concerning medical treatments, including a DNR.
Communicate with Family: It is vital to communicate your wishes regarding the DNR and overall healthcare decisions with family members. Ensuring they understand your desires can prevent confusion and conflict.
Review and Update Regularly: Your medical preferences may change over time. Regularly reviewing and updating your estate plan and DNR will ensure that your wishes remain current.
Conclusion
A DNR order is a vital component of your estate plan, reflecting your values and preferences regarding medical treatment in critical situations. By discussing and implementing a DNR, along with an advance healthcare directive and other estate planning documents, you are taking proactive steps to ensure your wishes are respected.
If you have questions about DNR orders, advance healthcare directives, or any other aspects of estate planning, don't hesitate to reach out. It's important to have a comprehensive plan that reflects your desires and provides peace of mind for you and your loved ones.