Navigating end-of-life care decisions is never easy. One crucial aspect of planning is understanding and completing a Do Not Resuscitate (DNR) form in Arizona. As someone who’s spent over a decade crafting legal and business templates, I’ve seen firsthand how a properly executed DNR can provide peace of mind, ensuring your wishes regarding life-sustaining treatment are honored. This article will provide a detailed overview of Do Not Resuscitate forms in Arizona, explain the legal requirements, and offer a free, downloadable template to help you get started. We'll cover everything from who can create a DNR, to what happens when it's presented to medical professionals, and common pitfalls to avoid. Understanding these forms is vital for all Arizona residents, regardless of age or health status.
What is a Do Not Resuscitate (DNR) Order in Arizona?
A DNR order, formally known as a Physician’s Order Regarding Life-Sustaining Treatment (POLST) in Arizona, is a legal document that instructs healthcare professionals not to perform cardiopulmonary resuscitation (CPR) if your heart stops or you stop breathing. CPR includes chest compressions, electric shock, and intubation. It’s important to understand that a DNR doesn’t prevent you from receiving other medical treatments; it specifically addresses resuscitation efforts. It’s a directive about how you want to be treated in a critical situation, not a refusal of all care.
Arizona law (Arizona Revised Statutes Title 36, Chapter 31) recognizes the right of competent adults to make healthcare decisions, including the right to refuse medical treatment. The POLST form is designed to translate those wishes into actionable medical orders. Unlike a living will, which outlines general preferences, a POLST form is a medical order signed by both the patient (or their legal representative) and a physician. This makes it immediately and legally binding.
Who Can Create a Do Not Resuscitate Form in Arizona?
In Arizona, the following individuals are eligible to create a POLST/DNR:
- Competent Adults: Any adult (18 years or older) with the capacity to understand the nature and consequences of their decision can create a DNR.
- Individuals with a Medical Condition: You don't need to be terminally ill to have a DNR. Anyone with a serious medical condition that could lead to cardiac or respiratory arrest can benefit from one.
- Legal Representatives: If an individual is unable to make their own decisions (due to incapacity), a legally appointed healthcare power of attorney or guardian can create a DNR on their behalf. This requires specific documentation and adherence to legal procedures.
- Minors (Limited Circumstances): While generally minors cannot create DNRs, there are exceptions for emancipated minors or those with specific medical conditions, requiring court approval.
Arizona POLST Form vs. Living Will: What’s the Difference?
Many people confuse a DNR (POLST) with a Living Will. Here’s a breakdown:
| Feature | POLST (DNR) | Living Will (Advance Directive) |
|---|---|---|
| Type of Document | Medical Order | Legal Document outlining wishes |
| Specificity | Specific instructions about resuscitation | Broad preferences for end-of-life care |
| Signatures Required | Patient/Representative & Physician | Patient & Witnesses |
| Implementation | Immediate medical order | Requires interpretation by healthcare providers |
| Portability | Designed to be portable (e.g., EMS) | May not be readily accessible in emergencies |
The Arizona Department of Health Services (https://www.azdhs.gov/polst/) provides detailed information on both POLST and advance directives.
Completing the Arizona Do Not Resuscitate (POLST) Form: A Step-by-Step Guide
The Arizona POLST form requires careful completion. Here’s a general outline:
- Patient Information: Provide your full name, date of birth, and address.
- Healthcare Provider Information: Your physician will complete this section, including their name, contact information, and signature.
- Treatment Preferences: This is the core of the form. You’ll indicate your wishes regarding CPR, intubation, artificial ventilation, and other life-sustaining treatments. Options typically include “Full Treatment,” “Selective Treatment,” or “Comfort Measures Only.”
- Signatures: Both you (or your legal representative) and your physician must sign and date the form.
- Distribution: Keep a copy of the signed form with you, give a copy to your physician, and consider providing copies to family members or caregivers. It’s also advisable to inform emergency medical services (EMS) about the existence of the form.
Important Considerations:
- Discuss with Your Doctor: Before completing the form, have a thorough conversation with your physician about your medical condition, treatment options, and the implications of a DNR.
- Understand the Options: Carefully consider each treatment preference and choose the option that best reflects your wishes.
- Review Regularly: Your healthcare preferences may change over time. Review your DNR form periodically and update it as needed.
Free Downloadable Arizona Do Not Resuscitate (POLST) Template
To help you get started, I’ve created a template based on the official Arizona POLST form. This template is designed to be a starting point and should be reviewed and completed in consultation with your physician.
Download Arizona Do Not Resuscitate (POLST) Template (PDF)
Disclaimer: This template is a sample and may not be suitable for all situations. It is crucial to consult with your physician to ensure the form accurately reflects your wishes and complies with Arizona law.
What Happens When a DNR is Presented to Medical Professionals?
When a valid Arizona DNR (POLST) is presented to healthcare professionals, they are legally obligated to honor the instructions outlined in the form. This means they will not perform CPR if you have indicated that you do not want it. EMS personnel are trained to recognize and respect DNR orders. However, they will still provide other necessary medical care, such as pain management and comfort measures.
It’s important to note that a DNR is not a “do not treat” order. It specifically addresses resuscitation. You will still receive other medical care as needed, unless you have specifically declined it in a separate advance directive.
Common Mistakes to Avoid When Creating a DNR in Arizona
Here are some common errors people make when creating a DNR in Arizona:
- Not Discussing with a Doctor: Completing the form without medical guidance can lead to misunderstandings and inappropriate treatment decisions.
- Using an Outdated Form: Ensure you are using the most current version of the Arizona POLST form.
- Not Signing and Dating the Form: An unsigned or undated form is not legally valid.
- Not Distributing Copies: Make sure your physician, family members, and EMS personnel have access to the form.
- Failing to Review and Update: Regularly review your DNR to ensure it still reflects your wishes.
Resources for Further Information
- Arizona Department of Health Services (POLST): https://www.azdhs.gov/polst/
- Arizona Revised Statutes Title 36, Chapter 31: https://www.azleg.gov/ars/title36/ch31.htm
- National POLST Registry: https://polstregistry.org/
- IRS.gov - Advance Healthcare Directives: While not directly related to the form itself, understanding the tax implications of end-of-life planning can be helpful. https://www.irs.gov/individuals/advance-healthcare-directives
Final Thoughts on Arizona Do Not Resuscitate Forms
Creating a Do Not Resuscitate form in Arizona is a proactive step towards ensuring your end-of-life wishes are respected. It’s a difficult conversation to have, but it’s a vital one. By understanding the legal requirements, completing the form carefully, and discussing it with your physician, you can gain peace of mind knowing that your preferences will be honored. Remember to utilize the free template provided as a starting point, but always prioritize professional medical advice.
Disclaimer: I am not a lawyer or medical professional. This article is for informational purposes only and does not constitute legal or medical advice. You should consult with a qualified attorney and your physician to discuss your specific situation and ensure your DNR form is legally valid and reflects your wishes. Laws and regulations are subject to change, so it’s essential to stay informed.