Homepage Legal Do Not Resuscitate Order Form Blank Illinois Do Not Resuscitate Order Form

Documents used along the form

When considering end-of-life care options in Illinois, the Do Not Resuscitate (DNR) Order form is just one piece of the puzzle. Several other documents complement the DNR, helping to ensure that an individual's healthcare preferences are respected. Understanding these forms can empower individuals and families to make informed decisions about medical care.

  • Advance Directive: This document outlines a person's preferences for medical treatment in situations where they may not be able to communicate their wishes. It can include specific instructions about life-sustaining treatments, organ donation, and other healthcare decisions.
  • Power of Attorney for Healthcare: This legal form allows an individual to designate someone else to make medical decisions on their behalf if they become incapacitated. The appointed person, often referred to as an agent or proxy, should be someone the individual trusts to honor their wishes.
  • Marital Separation Agreement: For couples considering a legal separation, the Marital Separation Agreement resources provide essential guidelines to outline mutual terms and responsibilities.
  • Living Will: A living will is a type of advance directive that specifically addresses end-of-life care. It provides guidance on the types of medical treatments a person wishes to receive or avoid, particularly in terminal situations or when they are in a persistent vegetative state.
  • Physician Orders for Life-Sustaining Treatment (POLST): This medical order translates a patient's preferences for treatment into actionable orders for healthcare providers. It is particularly useful for those with serious illnesses, ensuring that their wishes are followed in emergency situations.

By understanding these documents, individuals can create a comprehensive plan that reflects their values and preferences regarding medical treatment. This proactive approach not only eases the burden on family members but also ensures that healthcare providers have clear guidance on how to proceed in critical situations.

Similar forms

The Illinois Do Not Resuscitate (DNR) Order form shares similarities with the Advance Directive. An Advance Directive is a legal document that outlines a person's wishes regarding medical treatment in situations where they cannot communicate those wishes themselves. Like the DNR, it allows individuals to express their preferences about life-sustaining treatments and interventions, ensuring that their choices are respected even when they are unable to speak for themselves.

Another document comparable to the DNR Order is the Living Will. A Living Will specifically details the types of medical treatment a person desires or wishes to avoid at the end of life. It serves a similar purpose as the DNR by guiding healthcare providers on the patient’s wishes concerning life-sustaining measures, thus ensuring that their end-of-life preferences are honored.

In addition to the aforementioned documents, it is important to have a clear understanding of the legal aspects involved in vehicle transactions. For instance, the Auto Bill of Sale Forms play a significant role in documenting the sale of a vehicle, similarly ensuring that the agreements between the buyer and seller are formally recognized and respected in legal terms.

The Medical Power of Attorney is also akin to the DNR Order. This document designates a trusted individual to make healthcare decisions on behalf of the person if they become incapacitated. While the DNR focuses on resuscitation efforts, the Medical Power of Attorney encompasses broader medical decisions, allowing the appointed agent to ensure that the individual’s healthcare preferences, including DNR wishes, are followed.

Another relevant document is the Physician Orders for Life-Sustaining Treatment (POLST). POLST is a medical order that translates a patient’s preferences regarding life-sustaining treatments into actionable medical orders. Like the DNR, it is intended for individuals with serious illnesses and provides clear instructions to healthcare providers about the patient’s treatment preferences, ensuring their wishes are carried out in emergencies.

The Do Not Intubate (DNI) Order is similar to the DNR Order in that it specifically addresses a person's wishes regarding intubation and mechanical ventilation. While the DNR focuses on resuscitation efforts, the DNI allows individuals to refuse the use of a breathing tube in case of respiratory failure, ensuring that their preferences for comfort and care are respected during critical medical situations.

The Comfort Care Order is another document that aligns with the DNR. This order emphasizes the provision of comfort measures rather than aggressive treatments. It prioritizes palliative care, focusing on relieving pain and discomfort without attempting to prolong life through invasive medical interventions, thus reflecting a similar philosophy to the DNR regarding end-of-life care.

The Healthcare Proxy is also comparable to the DNR Order. This document allows individuals to appoint someone to make healthcare decisions on their behalf if they are unable to do so. While the DNR specifies preferences about resuscitation, the Healthcare Proxy ensures that the appointed individual can advocate for the person’s overall medical wishes, including their stance on resuscitation efforts.

The End-of-Life Care Plan is a comprehensive document that outlines a person's wishes regarding their care as they approach the end of life. Similar to the DNR Order, it includes preferences for medical treatments, palliative care, and other considerations that reflect the individual’s values and desires for their final days, ensuring that their choices are honored by healthcare providers.

Lastly, the Hospice Care Agreement is similar in its focus on end-of-life care. This agreement outlines the terms and conditions of receiving hospice services, which prioritize comfort and quality of life rather than curative treatments. Like the DNR Order, it reflects a commitment to honoring the patient’s wishes during their final stages of life, emphasizing dignity and respect in their care.

Steps to Filling Out Illinois Do Not Resuscitate Order

Completing the Illinois Do Not Resuscitate Order form is an important step for individuals who wish to express their healthcare preferences in advance. This document helps ensure that your wishes regarding resuscitation are known and respected in medical situations where you may be unable to communicate them. Follow these steps carefully to fill out the form correctly.

  1. Obtain the Illinois Do Not Resuscitate Order form. You can download it from the Illinois Department of Public Health website or request a copy from your healthcare provider.
  2. Begin by filling in your personal information at the top of the form. This includes your full name, date of birth, and address.
  3. Next, indicate whether you have a healthcare representative. If you do, provide their name and contact information. If you do not have one, leave this section blank.
  4. In the section labeled "Patient's Wishes," clearly mark the option that reflects your desire regarding resuscitation. This typically includes options such as "Do Not Resuscitate" or "Resuscitate."
  5. Sign and date the form at the designated area. Your signature confirms that you understand the implications of the order.
  6. If applicable, have your healthcare representative sign the form as a witness to your decision.
  7. Make copies of the completed form. Distribute these copies to your healthcare provider, family members, and anyone else who may need to know your wishes.

Once you have completed the form and distributed copies, keep the original in a safe yet accessible place. It’s advisable to inform your healthcare team about your decision, ensuring they have a copy on file. Regularly review your preferences to ensure they still align with your current wishes.