Oakland, Michigan Do Not Resuscitate (DNR) Request is a legal document that allows individuals to express their desire to forgo resuscitation measures in the event of a cardiac or respiratory arrest. It is specifically designed for residents in Oakland County, Michigan, and serves as an essential tool in end-of-life planning. The DNR request is most commonly used by patients with terminal illnesses or those who do not wish to receive aggressive life-saving interventions. The Oakland County Medical Control Authority (YMCA) oversees the implementation of the DNR request in the region. They have defined different types of DNR requests to cater to the unique circumstances and preferences of individuals: 1. Standard DNR: This type of DNR request is the most commonly used and respected across healthcare facilities. It relays the individual's wish to not have cardiopulmonary resuscitation (CPR) performed on them if their heart stops, or they stop breathing. However, this does not restrict the administration of other medical interventions, such as comfort measures and pain management. 2. Comfort Measures Only (CMO) DNR: Also known as "No Code," this DNR request specifies that the individual desires only comfort-focused care in the event of an emergency. It emphasizes the provision of palliative measures, such as pain relief, but strictly prohibits CPR or any invasive resuscitation procedures. 3. Limited DNR: This type of DNR request incorporates specific instructions outlining the limitations of resuscitation efforts. Individuals may choose to exclude certain interventions, such as intubation, defibrillation, or mechanical ventilation, while still allowing others, like medication administration or airway management. It is crucial to note that all types of Oakland, Michigan DNR requests should be accompanied by a signed physician's order to ensure their validity during emergency situations. These orders should be readily accessible by healthcare providers, either in the form of a physical document or an electronic system, like the Michigan Automated Prescription System (MAPS). Creating a DNR request is a thoughtful and personal process that necessitates thorough discussions with healthcare providers, family, and loved ones. By having an Oakland, Michigan DNR request in place, individuals can ensure their end-of-life preferences are known and respected, empowering them to maintain control over their own medical decisions even in critical situations.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.