A common misconception that families share is fear about the Do Not Resuscitate (DNR) order. First, it is a physician order, and an attorney cannot prepare or sign this document. It is only a physician, and in some states, it can be a nurse practitioner or physician assistant. To not provide resuscitation otherwise known as CPR (cardiopulmonary resuscitation) we get orders from a healthcare practitioner, and the same process is required to withhold care.

A DNR means that CPR is not administered if both the heart and lungs cease to function. This does not mean that we do stop all treatment for an individual. We would continue to treat infections, give routine medications, hospitalize the person and even do surgery if the individual wants this treatment. The only procedure that is not done is CPR.

When an individual is in the hospital and undergoing anesthesia for a procedure, the DNR is temporarily suspended. Once the procedure or surgery is completed, the DNR again takes effect.

A DNR provides the alternate decision maker, or agent, with guidance. It tells that person what your wishes are if you are unable to make decisions on your behalf. There are many reasons that you might not be able to speak for yourself.

As a healthcare practitioner, I cannot overemphasize the power of this document. It is the way that as adults we can be in charge of our wishes even when we cannot speak. It keeps our integrity, dignity, and autonomy in place for our entire lifetime. If you want more information about this vital tool, either contact me or go to the web and type in DNR or Do Not Resuscitate and the state that you live in. Each state has a different process and form. You will find the specifics of your jurisdiction.