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Is DNR Included in Advance Medical Directive?

Understanding the ins and outs of medical directives can be a daunting task, but it's essential for ensuring your wishes are respected in critical health situations. This guide aims to clarify the purpose and process of an AMD and explain how it differs from other medical directives like Do-Not-Resuscitate (DNR) orders. Whether you're considering putting an Advance Medical Directive in place or just want to understand more about your options, this guide will provide you with necessary insights and guide you on how to safeguard your healthcare decisions effectively.


Do-Not-Resuscitate (DNR) Orders vs. AMD


patient with dnr order

1. Specific Nature and Purpose of DNR Orders


Do-Not-Resuscitate (DNR) orders are medical orders specifically focusing on the non-administration of cardiopulmonary resuscitation (CPR) should a patient's heart stop or if they stop breathing. Unlike Advance Medical Directives (AMD), a DNR order does not cover a broad range of medical treatments but is solely concerned with the avoidance of resuscitation. Typically issued by a physician, DNR orders are based on the patient’s wishes or overall best medical interests and are documented within the patient’s medical record. They are vital in contexts where patients prefer not to undergo potentially traumatic or futile medical interventions in dire circumstances.


2. Clarifying if DNR is Included in AMD


In Singapore, an Advance Medical Directive (AMD) is a broader legal document compared to a DNR order. An AMD allows individuals to express their refusal of extraordinary life-sustaining treatments should they become terminally ill and unconscious. However, it does not automatically include a DNR order. While both are directed at managing end-of-life care, AMD focuses on preventing prolonged suffering, whereas a DNR specifically instructs care providers not to undertake CPR.


3. Legal Implications of DNR and AMD in Medical Practice


Navigating DNR orders and AMDs involves understanding their different legal grounds and implications in healthcare. AMD in Singapore is legally binding under the AMD Act, which provides protection to medical professionals who abide by the directive, safeguarding them from legal repercussions. Conversely, DNR orders are medical decisions made in conjunction with patients or their families and do not require registration with any legal body. Medical practitioners must respect both AMDs and valid DNR orders, failing which could lead to professional or legal consequences.


The Role of The Life Legacy in AMD Implementation


The Life Legacy plays a pivotal role in aiding individuals through the intricacies of AMD formulation. By offering detailed explanations and personalised guidance, The Life Legacy ensures that individuals fully comprehend the implications and benefits of creating an AMD. From initial discussions to the actual signing and submission of the AMD form, The Life Legacy provides support every step of the way. This includes assistance in securing a doctor’s certification, ensuring the directive is formulated accurately, and helping submit the document to the appropriate registrar.


Choosing to work with The Life Legacy for the planning and implementation of an AMD has multiple advantages:


- Expert Guidance: The organisation offers expert advice, ensuring that all legal requirements are met and that the document truly reflects the individual's wishes.


- Reduced Emotional Burden: The Life Legacy helps alleviate the emotional stress on family members by ensuring clear communication and understanding of the individual's end-of-life preferences.


- Streamlined Process: The Life Legacy simplifies the complex process of creating and registering an AMD, making it more accessible and less daunting for individuals considering this option.


- Peace of Mind: By facilitating clear, legally recognised directives, The Life Legacy provides peace of mind to all parties involved that the individual's medical and personal values will be respected.


Engaging with The Life Legacy can significantly assist in ensuring your end-of-life preferences are clearly understood and honoured, providing you and your family assurance in times that would otherwise be fraught with uncertainty and emotional turmoil.


If you have yet to make such preparations, perhaps now is the time to consider how you wish to shape your life legacy. Contact The Life Legacy today to get started!

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