Navigating end-of-life care can be challenging, and understanding the legal documents involved is crucial. In Colorado, the Do Not Resuscitate (DNR) form, also known as a Physician Order for Life-Sustaining Treatment (POLST) form, allows individuals to express their wishes regarding medical interventions, specifically cardiopulmonary resuscitation (CPR). This guide will provide a comprehensive overview of Colorado's DNR form, addressing common questions and concerns.
What is a Colorado DNR Form (POLST)?
A Colorado DNR order, officially a Physician Orders for Life-Sustaining Treatment (POLST) form, is a medical order signed by a physician that instructs healthcare providers not to perform CPR or other life-sustaining treatments should the individual's heart or breathing stop. Unlike an advance directive (like a living will), which outlines general wishes, a POLST is a specific medical order with legal weight, directly informing medical personnel of the patient's preferences. It is intended for individuals with serious or terminal illnesses who have a limited life expectancy.
Who Should Complete a Colorado POLST Form?
A POLST form is typically recommended for individuals with serious illnesses who have a discussion with their doctor about end-of-life care preferences. This includes those diagnosed with:
- Serious heart conditions: Congestive heart failure, severe coronary artery disease.
- Advanced cancers: Metastatic cancer with a poor prognosis.
- Chronic respiratory illnesses: Severe COPD, cystic fibrosis.
- Dementia or other neurodegenerative diseases: Advanced Alzheimer's disease.
- End-stage renal disease: Kidney failure requiring dialysis.
It's important to have an open conversation with your physician and potentially a palliative care specialist to determine if a POLST is right for you.
How Do I Get a Colorado POLST Form?
The POLST form isn't something you download and complete yourself. It must be completed by a physician or other qualified healthcare provider after a discussion about your health status and end-of-life wishes. You can initiate this conversation with your doctor or nurse practitioner. They will review your medical history and discuss your preferences regarding CPR, artificial ventilation, and other life-sustaining treatments. After a thorough discussion and medical assessment, the form will be completed and signed by the physician.
What Does a Colorado POLST Form Include?
The Colorado POLST form includes several sections outlining your preferences regarding specific medical treatments, including:
- Cardiopulmonary Resuscitation (CPR): Do you want CPR if your heart stops?
- Medical Interventions: Your preferences regarding mechanical ventilation (breathing machine), intubation, and other life-sustaining treatments.
- Comfort Measures: Your preferences for pain and symptom management.
Can I Change My Colorado POLST Form?
Yes. Your POLST form is not set in stone. Your wishes can change over time, and your healthcare provider can update the form to reflect those changes. It’s a dynamic document that should accurately reflect your current preferences. It is important to discuss any changes in your health status or desires with your healthcare provider.
What Happens if I Don't Have a Colorado POLST Form?
If you don't have a POLST form, healthcare providers will generally assume that you wish to receive all available life-sustaining treatments, including CPR, in the event of a medical emergency. This is why open communication with your healthcare team and completing an advance directive, such as a living will or healthcare power of attorney, is so important. These documents can guide decisions if you are unable to communicate your wishes.
Where Can I Find More Information about Colorado POLST Forms?
For more detailed information and to access the official Colorado POLST form, you should consult your physician or a local healthcare provider. They can provide personalized guidance and ensure the form is completed accurately and legally.
This information is for educational purposes only and does not constitute medical advice. Always consult with a healthcare professional for guidance on your individual medical care and end-of-life planning.
