Oftentimes, medical professionals are faced with challenging decisions about patient care, particularly regarding Do Not Resuscitate (DNR) orders.

In this blog, we'll explain what a DNR order is, how to establish one, the importance of clear communication, and how medical bracelets can aid in emergencies.

What is a Do Not Resuscitate Order?

A DNR order is a legal document that informs healthcare providers not to perform CPR or other life-saving measures in the event of a cardiac or respiratory arrest. DNR orders are often used for patients with terminal illness, or severe health conditions where resuscitation would not significantly improve quality of life. They are also sometimes called DNAR orders (do not attempt resuscitation).

This can be suggested proactively by you, so that your specific wishes are carried out in an emergency. 

Or it may be suggested by your doctor if they feel it’s something that you should consider. Although CPR can save someone’s life in an emergency, it can also result in shock, bruising of the lungs or broken ribs. And although the aim of CPR is to restart the heart, it cannot cure the underlying condition, and brain damage (or something else requiring long term care) may have already occurred in an emergency. So, it’s not recommended for every patient. If your doctor talks to you or a family member about DNR orders, they can offer guidance on the impact of a DNR order and assist you in understanding your choices. 

Check out this link for more information on a DNR order.

How to get a DNR order in place?

Once you and your doctor have discussed and agreed on a DNR order, they will provide you with a form to complete. This form may need both your and your doctor's signature. In the UK, these forms can only be provided by your doctor. 

For more information on how to get a DNR order in place, check out this link.

How to communicate a DNR order?

To ensure your wishes are clear, it's important to communicate a DNR order. Here are some ways to inform others of your DNR order:

• Discuss your wishes with family. Having a conversation with your loved ones and caregivers about a DNR order is important to make sure everyone knows what you want to happen to you in a medical emergency. Do this earlier, and occasionally remind your loved ones, so it doesn’t come as a shock in an emergency. Talking it through with friends and family when everyone is calm means they can ask questions and gradually accept your decision. And that knowledge and acceptance will help any emergency run more smoothly. 
• Keep copies accessible. Once the DNR order is in place, keep copies of it in accessible places, such as your medical records, at home, and with family members. You could even engrave this detail onto your medical bracelet, or wear a DNR wristband to ensure first responders know of your wishes in an emergency. 

Do hospitals need a legal document to act?

Hospitals usually need legal documentation to honour a DNR order. This proof safeguards your wishes and protects healthcare providers from liability. Without a valid DNR order, medical staff might have to perform resuscitation even if they know your general preferences.

Medical bracelets: A good tool?

Medical bracelets can help ensure your wishes are known in emergencies, alerting first responders of a DNR order. While useful as a reminder, and an aid to communication, they should not replace necessary legal documents.

We have a wide range of medical bracelets and necklaces to help you communicate your DNR order. Check out the full range here.

For a simple easy way to communicate that you have a DNR order, why not wear a DNR wristband. But also make sure your legal document is properly signed, and easy to access.

How would the public respond?

Wearing a medical bracelet indicating that you have a DNR order in place can evoke mixed reactions from the public in an emergency. While healthcare providers are trained to identify such bracelets, and then ask for the legal paperwork, the average bystander may not know what to do. 

In emergencies, members of the public are often compelled to act. While some may honour a DNR order indicated by a medical bracelet, others might still try to assist, driven by the instinct to help. The presence of a DNR bracelet could lead some to proactively seek legal documentation, but responses may vary from compliance to confusion. Have a read of this paramedic’s story about encountering a patient with a DNR bracelet. So early and regular communication with the ones you love about your DNR order will help you get the most relevant care in an emergency.

In conclusion, understanding DNR orders is crucial for patients and families. Clear communication and proper documentation can ensure that your healthcare wishes are honoured. Medical bracelets can serve as a helpful tool, but they should be used alongside formal legal orders. Ultimately, fostering understanding and awareness about DNR orders can help create a more compassionate approach to end-of-life care.

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