People often refer to a “Do Not Resuscitate” document as a “DNR.” As an attorney I routinely prepare estate planning documents often called “Living Wills” by the public. I know that the documents I prepare are not a DNR, but people often hope the “living will” documents I prepare for them will act like a DNR. Well, if you can’t say you learn something new every day, you aren’t trying hard enough. Here’s what I learned today: In Utah, “Living Will” documents do not function like a DNR, and, very importantly, A LAWYER CANNOT COMPLETE THIS FOR YOU.
In Utah, the document that acts like a DNR is called a “Physician Order for Life Sustaining Treatment.” This document is not a do-it-yourself form and MUST BE PREPARED BY A QUALIFIED MEDICAL PROFESSIONAL, which must be a physician, an APRN, a physician’s assistant, or a licensed nurse or a licensed social worker, acting, under the supervision of the physician, APRN, or PA who will sign the form, may prepare the form with the patient or surrogate, but the form must be signed by the physician, APRN or physician assistant
You can find this document on the web at the Utah Department of Health website http://health.utah.gov/ems/polst/. The explanation of the document can be found on a link to the POLST/Life with Dignity Provider Guide from the same page.
The Utah DNR, or POLST, is not a substitution for “living will” documents. The POLST is best used, and healthcare providers should discuss the POLST with patients: 1) Who are facing life-threatening illness; 2) Who have specific preferences about life-sustaining measures (e.g. Jehovah Witness preference for no transfusion), or 3) Who want a DNR order when living outside of a licensed health facility. In contrast to Advance Directives, which benefit all adults, the POLST is less helpful to individuals who are not in these three categories.
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