Navigating end-of-life care decisions is never easy. One of the most important steps you can take to ensure your wishes are respected is completing a Wisconsin Do Not Resuscitate (DNR) form. As someone who’s spent over a decade crafting legal and business templates, I understand the anxiety surrounding these documents. This article will provide a clear, comprehensive guide to the WI DNR form, explaining its purpose, how to complete it, and where to find a free, downloadable template. We’ll cover everything from understanding the legal requirements to practical considerations for discussing your wishes with family and healthcare providers. Knowing your rights and preparing these documents proactively can bring peace of mind, not just for you, but for your loved ones as well.
What is a Wisconsin Do Not Resuscitate (DNR) Order?
A Wisconsin DNR order, formally known as a physician order for life-sustaining treatment (POLST), is a medical order signed by a physician that instructs healthcare professionals not to perform cardiopulmonary resuscitation (CPR) if your heart stops or you stop breathing. It’s more than just a wish; it’s a legally recognized directive. Unlike a living will, which outlines your general preferences for care, a DNR is a specific, actionable order for immediate medical response. It’s designed for individuals with a serious medical condition or terminal illness, but anyone can choose to have a DNR order. The goal is to allow a natural death with dignity, avoiding potentially unwanted and often unsuccessful medical interventions.
It’s crucial to understand the difference between a DNR and other advance directives. A living will details your wishes regarding a broader range of medical treatments, while a durable power of attorney for healthcare designates someone to make medical decisions on your behalf if you are unable to do so. A DNR specifically addresses CPR. These documents often work together to provide a complete picture of your healthcare preferences.
Who Can Create a Wisconsin DNR Order?
In Wisconsin, a DNR order requires a conversation with your physician. You cannot simply fill out the form and have it automatically honored. The process involves:
- Discussion with your Doctor: You must discuss your wishes with your physician. They will explain the implications of a DNR order and ensure you understand the potential consequences.
- Physician Completion: The physician is legally required to complete and sign the DNR form based on your expressed wishes.
- Patient or Legal Representative Signature: You, as the patient, must sign the form if you are capable. If you are unable to sign, your legally appointed healthcare power of attorney can sign on your behalf.
- Form Availability: The completed DNR form must be readily available to emergency medical personnel. This means keeping a copy with you, at home, and informing your healthcare providers.
According to the Wisconsin Department of Health Services, the POLST/DNR form is intended for individuals who are seriously ill or frail and who have given thought to their end-of-life care preferences.
Completing the Wisconsin DNR Form: A Step-by-Step Guide
While the physician ultimately completes the form, understanding the sections will help you have a productive conversation with your doctor. Here’s a breakdown of the key areas:
| Section | Description |
|---|---|
| Patient Information | Your full name, date of birth, address, and health insurance information. |
| Healthcare Provider Information | Your physician’s name, contact information, and signature. |
| CPR Wishes | This is the core of the DNR order. You’ll indicate whether you want CPR performed if your heart stops or you stop breathing. Options typically include “Full Treatment,” “Selective Treatment,” or “Comfort Focused Treatment.” |
| Other Medical Orders | This section allows for specifying other medical orders, such as preferences regarding intubation, mechanical ventilation, or artificial nutrition and hydration. |
| Signatures | Space for your signature (or your healthcare power of attorney’s) and the physician’s signature. Date of signing is also required. |
Important Considerations:
- Specificity: Be as clear as possible about your wishes. Avoid ambiguous language.
- Review Regularly: Your preferences may change over time. Review your DNR order with your physician periodically, especially if your medical condition changes.
- Communication: Discuss your DNR order with your family and loved ones. Ensure they understand your wishes and know where to find the form.
Where to Find a Free Wisconsin DNR Form Download
You can download a free Wisconsin DNR (POLST) form from the Wisconsin Department of Health Services website. This is the official and most up-to-date version of the form. I’ve also included a direct download link below for your convenience:
Download Wisconsin DNR (POLST) FormPlease Note: Downloading the form is only the first step. It must be completed and signed by your physician to be legally valid.
Understanding the Legal Implications of a WI DNR
The Wisconsin DNR law, outlined in Wisconsin Statute 154.01, provides legal protection for healthcare providers who honor a valid DNR order. However, it’s essential to understand your rights and responsibilities:
- Revocation: You have the right to revoke your DNR order at any time, as long as you are competent. Simply inform your physician, and they will update your medical records.
- Emergency Medical Services (EMS): EMS personnel are legally obligated to honor a valid DNR order. They will focus on providing comfort care rather than attempting resuscitation.
- Hospital Policies: Hospitals may have their own policies regarding DNR orders. It’s important to understand these policies and ensure your wishes are respected.
Common Questions About Wisconsin DNR Orders
Here are some frequently asked questions I’ve encountered while assisting clients with advance care planning:
- Does a DNR mean I won’t receive any medical care? No. A DNR specifically addresses CPR. You will still receive other medical care, such as pain management, medication, and emotional support.
- What if I change my mind? You can revoke your DNR order at any time.
- Can I have a DNR order if I’m not terminally ill? Yes. Anyone can choose to have a DNR order, regardless of their medical condition.
- What happens if I don’t have a DNR order? If you don’t have a DNR order, healthcare providers will generally attempt CPR if your heart stops or you stop breathing.
Beyond the Form: Having the Conversation
Completing the Wisconsin Do Not Resuscitate form is a significant step, but it’s only part of the process. The most important thing is to have an open and honest conversation with your physician, family, and loved ones about your wishes for end-of-life care. This conversation can be difficult, but it’s essential to ensure your values and preferences are respected. Don’t delay – proactive planning can provide peace of mind for everyone involved.
Disclaimer
Please note: I am not a lawyer, and this article is not legal advice. The information provided here is for general informational purposes only. It is essential to consult with a qualified attorney and your physician to discuss your specific circumstances and ensure your DNR order is legally valid and reflects your wishes. Laws and regulations are subject to change, so it’s important to stay informed.