This is a state specific form specifying your desires that, should you experience cardiac or pulmonary failure in a location other than an acute care hospital or a health facility, cardiopulmonary resuscitation procedures be withheld or withdrawn and that you be permitted to die naturally.
Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration (DNR) is a statutory form designed to allow individuals in the state of Indiana to express their wishes regarding resuscitation attempts in the event of a cardiac or respiratory arrest. This legally binding document guides healthcare providers and emergency medical personnel in honoring a patient's decision for a DNR. The Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration allows individuals to maintain control over their own medical treatment and end-of-life decisions. By completing this form, patients can ensure their desires are followed when they are unable to communicate or make decisions for themselves. It is important to note that there are different types of Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration forms tailored to specific situations and medical settings. These include: 1. Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration for Adults: This form is intended for individuals aged 18 and above. It is designed to express an adult's desire to withhold resuscitation measures if they experience a cardiac or respiratory arrest outside a healthcare facility. 2. Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration for Minor Patients: This specialized form is utilized in cases where parents or legal guardians of a minor patient wish to make decisions regarding the child's resuscitation wishes. It ensures that the child's medical treatment aligns with their parents' or guardians' preferences. 3. Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration for Patients with Developmental Disabilities: This form caters to patients with developmental disabilities who can understand and express their wishes. It provides these individuals with the opportunity to state their preference regarding resuscitation attempts. 4. Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration for Patients with Terminal Illness: This specific form is tailored for individuals diagnosed with a terminal illness, allowing them to indicate their wishes for end-of-life care. It ensures medical professionals are aware of the patient's desire to forego resuscitation measures in the event of an arrest. Completing the Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration involves careful consideration and conversations with healthcare providers, family members, and legal representatives. It is advised to review and understand the form's instructions, consult a medical professional if needed, and keep a copy easily accessible in case of an emergency. By utilizing the appropriate Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration form, individuals can ensure their wishes are respected and receive the desired end-of-life care, particularly in situations where resuscitation may not be in their best interest.Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration (DNR) is a statutory form designed to allow individuals in the state of Indiana to express their wishes regarding resuscitation attempts in the event of a cardiac or respiratory arrest. This legally binding document guides healthcare providers and emergency medical personnel in honoring a patient's decision for a DNR. The Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration allows individuals to maintain control over their own medical treatment and end-of-life decisions. By completing this form, patients can ensure their desires are followed when they are unable to communicate or make decisions for themselves. It is important to note that there are different types of Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration forms tailored to specific situations and medical settings. These include: 1. Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration for Adults: This form is intended for individuals aged 18 and above. It is designed to express an adult's desire to withhold resuscitation measures if they experience a cardiac or respiratory arrest outside a healthcare facility. 2. Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration for Minor Patients: This specialized form is utilized in cases where parents or legal guardians of a minor patient wish to make decisions regarding the child's resuscitation wishes. It ensures that the child's medical treatment aligns with their parents' or guardians' preferences. 3. Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration for Patients with Developmental Disabilities: This form caters to patients with developmental disabilities who can understand and express their wishes. It provides these individuals with the opportunity to state their preference regarding resuscitation attempts. 4. Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration for Patients with Terminal Illness: This specific form is tailored for individuals diagnosed with a terminal illness, allowing them to indicate their wishes for end-of-life care. It ensures medical professionals are aware of the patient's desire to forego resuscitation measures in the event of an arrest. Completing the Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration involves careful consideration and conversations with healthcare providers, family members, and legal representatives. It is advised to review and understand the form's instructions, consult a medical professional if needed, and keep a copy easily accessible in case of an emergency. By utilizing the appropriate Evansville Indiana Out of Hospital ā Do not Resuscitate Declaration form, individuals can ensure their wishes are respected and receive the desired end-of-life care, particularly in situations where resuscitation may not be in their best interest.
Para su conveniencia, debajo del texto en espaƱol le brindamos la versiĆ³n completa de este formulario en inglĆ©s. For your convenience, the complete English version of this form is attached below the Spanish version.