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Comprehensive Guide to DNR Orders and Advance Healthcare Planning
Making decisions about resuscitation preferences is a sensitive and important part of estate and healthcare planning in Pomona, California. A Do Not Resuscitate order allows people to document their wish not to receive cardiopulmonary resuscitation (CPR) in specific medical situations. This guide provides clear information about how DNR orders function under California law, how they interact with other advance directives, and practical steps to ensure your wishes are recognized by medical professionals. Whether you are starting this planning for yourself or helping a loved one, understanding the legal and medical context helps you make decisions that reflect personal values and health goals.
This resource focuses on helping Pomona residents identify the requirements, benefits, and limitations of DNR orders and how to integrate them into a broader estate planning strategy. We explain the documentation and signing procedures commonly used in California and highlight steps to make sure a DNR order is accessible to healthcare providers. The goal is to equip you with the knowledge needed to make informed choices, improve communication with family, and reduce uncertainty during medical emergencies. Practical tips and guidance on related documents such as living wills and powers of attorney are included to support a cohesive plan.
Why a DNR Order Can Be Meaningful for Pomona Residents
A DNR order gives individuals in Pomona a way to specify their preferences about resuscitation in medical emergencies, which can preserve personal dignity and ensure medical care aligns with one’s values. For families, having a clear written directive reduces conflict and confusion during a crisis. Medical teams can rely on properly executed orders to respect patient choices without delay. Additionally, integrating a DNR order into a broader set of advance directives offers more complete guidance for caregivers and providers, helping ensure that decisions reflect overall treatment goals rather than leaving choices to interpretation in high-stress situations.
How LA Estate Plans Supports Pomona Clients with DNR Orders
LA Estate Plans assists Pomona community members by explaining the legal framework for DNR orders and preparing documents that meet California requirements. Our approach centers on listening to personal preferences, explaining options such as living wills and durable powers of attorney for healthcare, and helping clients complete the necessary forms and signatures. We guide clients through conversations with medical providers to confirm that DNR orders are properly recorded. The focus is on practical, compassionate support that helps residents feel confident their wishes will be respected when the time comes.
Understanding DNR Orders and How They Work in Pomona
A DNR order is a medical directive specific to resuscitation measures, instructing health professionals not to perform CPR if breathing or heartbeat stops. In Pomona and throughout California, the order must be documented in a way that complies with state law and local practices to be enforceable. It is often created in consultation with a physician and may be recorded in medical records or on state-recognized forms. Understanding when a DNR applies, how it differs from other advance directives, and where to store the documentation are key elements for ensuring your wishes are followed by healthcare teams.
DNR orders are one part of advance healthcare planning and do not address other treatment preferences such as feeding, antibiotic use, or pain management. For many people in Pomona, pairing a DNR with a living will and a durable power of attorney for healthcare creates a complete plan that covers both resuscitation and broader end-of-life care decisions. Regular review is important because health status and personal preferences can change over time. Communicating plans with loved ones and healthcare providers ensures everyone understands the scope and intent of the DNR order when it is needed.
What a DNR Order Means and When It Applies
A Do Not Resuscitate order is a clear instruction to medical personnel that CPR or other resuscitative measures should not be initiated if a patient’s heart stops or they stop breathing. The order is focused solely on resuscitation and does not prevent other forms of medical care unless specified in additional directives. In Pomona, a valid DNR typically requires documentation that meets California standards and may involve a physician’s signature or specific forms recognized by healthcare facilities. Proper completion and distribution are essential to ensure first responders and hospital staff can find and honor the directive quickly.
Key Steps to Create and Maintain a Valid DNR Order
Establishing a valid DNR order involves documenting your wishes clearly, discussing them with your physician, and ensuring the form adheres to California law. You should confirm whether the DNR needs to be on a specific state or facility form, obtain required signatures, and provide copies to your medical providers, family members, and anyone authorized to make decisions on your behalf. Periodic review and updates are advisable to reflect changes in health or preferences. Keeping the DNR accessible — such as a copy in your medical record and with your durable power of attorney for healthcare — helps ensure it is honored when needed.
Glossary of Common Terms Related to DNR Orders
Familiarity with common terms helps Pomona residents navigate DNR orders and related advance directives. Below are concise definitions of terms you will likely encounter during the planning process. Understanding these concepts clarifies how different documents interact and what protections they provide. Use this glossary to communicate more effectively with healthcare providers and family members when making decisions about end-of-life treatment priorities and legal documentation.
Advance Healthcare Directive
An advance healthcare directive is a legal document that allows an individual to specify preferences for medical treatment in the event they cannot communicate their decisions. It may include instructions about resuscitation, life-sustaining treatment, and comfort care. For Pomona residents, an advance directive can include a DNR order or refer to separate documents that outline specific wishes. The directive often names a person authorized to make healthcare decisions on the individual’s behalf, and it should be kept updated and distributed to relevant parties so healthcare providers can follow the stated preferences.
Durable Power of Attorney for Healthcare
A durable power of attorney for healthcare designates someone to make medical decisions when the individual is unable to do so. This appointed decision-maker can interpret treatment preferences and communicate with medical providers, potentially including decisions about resuscitation if no DNR order is present. In Pomona, naming a reliable and informed agent helps ensure that healthcare wishes are followed and that decisions are made by someone who understands the individual’s values. The document should be clear about the agent’s authority and distributed to medical personnel and family members.
Cardiopulmonary Resuscitation (CPR)
Cardiopulmonary resuscitation is an emergency procedure used to restore breathing and circulation after cardiac or respiratory arrest. It can involve chest compressions, rescue breaths, and use of automated external defibrillators. A DNR order specifically instructs medical staff not to perform CPR in qualifying situations. Understanding what CPR entails helps individuals in Pomona make informed decisions about whether to include a DNR order in their advance care planning. Discussing the likely outcomes and burdens of CPR with a medical provider can clarify how it aligns with personal goals of care.
Living Will
A living will is a legal document that describes a person’s preferences for medical treatment when they cannot express their own wishes. It can address a variety of life-sustaining measures, such as mechanical ventilation, feeding tubes, and pain management. In Pomona, pairing a living will with a DNR order creates clearer guidance for healthcare teams and family members about overall treatment goals. The living will complements the DNR by addressing treatments beyond resuscitation, helping ensure that medical care reflects the person’s values and priorities across different circumstances.
Comparing DNR Orders to Other Advance Care Tools
When planning for end-of-life care in Pomona, it helps to compare DNR orders with living wills and durable powers of attorney for healthcare. A DNR specifically addresses resuscitation, while living wills cover a broader set of treatment preferences and a durable power of attorney names a decision-maker. Choosing one document or a combination depends on personal goals and the level of guidance desired. Many people find that combining a DNR with other directives ensures both immediate emergency preferences and broader long-term treatment intentions are documented and accessible to medical teams and loved ones.
When a Focused DNR Order May Be Appropriate:
Clear Wish to Decline Resuscitation Only
A limited approach that centers on a DNR order may be suitable for individuals who have a specific and well-defined wish to avoid CPR but do not require broader instructions for other medical treatments. For Pomona residents who are comfortable with most other interventions but want to refuse resuscitation, a DNR provides a straightforward, narrowly tailored solution. This option can be simpler to document and communicate, while still ensuring that the particular preference regarding resuscitation is known to healthcare providers and family members in the event of an emergency.
Stable Health with Narrow Treatment Preferences
If an individual has stable health and the only medical intervention they wish to refuse is resuscitation, a DNR order alone may meet their needs without creating more comprehensive directives. This can be appropriate where ongoing decisions about other treatments are not a concern, or where the person prefers to address those matters later. In Pomona, ensuring the DNR is properly completed and shared with medical providers gives confidence that this narrow but important preference will be honored when necessary.
When a Broader Advance Care Plan Is Beneficial:
Complex or Progressive Medical Conditions
For people facing progressive illnesses or complicated medical scenarios, a comprehensive plan that includes a DNR, a living will, and a durable power of attorney for healthcare offers greater clarity and control. In Pomona, documenting detailed treatment preferences helps healthcare teams and loved ones make decisions aligned with long-term goals, reducing the need for on-the-spot judgments during crises. A complete plan addresses a range of potential situations and can reduce disputes by providing a clear framework for care decisions across different stages of illness.
Desire to Delegate Decision-Making When Incapacitated
Some individuals want to appoint a trusted person to make healthcare choices if they lose capacity. Combining a DNR with a durable power of attorney for healthcare and a living will gives that agent direction and authority, reducing uncertainty. In Pomona, naming an agent who understands your values and documenting clear preferences supports consistent decision-making. This arrangement helps avoid disagreements among family members and gives medical providers a single point of contact empowered to act on behalf of the patient when necessary.
Advantages of Including a DNR in Broader Advance Planning
A comprehensive approach to advance care planning ensures that resuscitation preferences are integrated with broader instructions about treatment goals, pain management, and decision-making authority. For Pomona residents, this reduces ambiguity and helps medical teams provide care consistent with the person’s values. When a DNR is combined with a living will and a durable power of attorney for healthcare, both emergency responders and long-term care providers have a clearer roadmap for treatment decisions, which can lead to better alignment between medical interventions and the patient’s wishes.
Comprehensive planning also eases the burden on family members during stressful medical situations by providing written guidance that can be followed without prolonged debate. Having a coordinated set of documents increases the likelihood that all parties understand the intent behind treatment choices, improving communication among loved ones, appointed decision-makers, and clinicians in Pomona. Regularly reviewing and updating these documents ensures they remain accurate and relevant as medical circumstances or personal preferences change over time.
Improved Communication and Reduced Conflict
One significant advantage of an integrated advance care plan is clearer communication between patients, family members, and medical providers. In Pomona, having written directives that articulate specific wishes and name decision-makers reduces misunderstandings at critical moments. This clarity supports coordinated care and helps avoid disputes about what the patient would have wanted. When documents are shared with all relevant parties and stored where providers can find them, it contributes to more respectful, timely, and appropriate treatment decisions aligned with the person’s goals.
Greater Confidence That Wishes Will Be Followed
A cohesive set of directives gives individuals in Pomona more confidence that their healthcare preferences will be observed. By documenting resuscitation choices, broader treatment preferences, and naming an authorized decision-maker, the likelihood that care aligns with personal values increases. This reduces the potential for emergency interventions that may conflict with one’s wishes and lessens emotional strain on family members. Maintaining updated copies and informing providers ensures directives remain practical and accessible when needed.
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Practical Tips for Managing Your DNR Order
Ensure Proper Documentation and Signatures
Confirm that your DNR order follows California requirements and includes all necessary signatures or physician confirmation. Different facilities may use specific forms, so check with your healthcare provider or hospital in Pomona to verify the correct paperwork. Keep copies of the signed DNR in your medical records and provide printed or digital copies to family members and anyone appointed to make decisions on your behalf. Making sure the document is clearly labeled and accessible increases the chance it will be recognized and honored when it matters most.
Communicate Your Wishes with Family and Providers
Review and Update Documents Periodically
Health conditions and personal preferences can change, so it is wise to review your DNR order and related advance directives periodically. Revisit documents after major life events, changes in health status, or shifts in care goals. Updating paperwork ensures it continues to reflect current wishes and complies with any changes in local or state procedures. Distribute revised copies to medical providers and family members in Pomona so everyone has access to the most recent instructions when they are needed.
Why Pomona Residents Choose to Establish a DNR Order
Many people in Pomona consider a DNR order to avoid unwanted resuscitative treatments that may not align with their goals of care. A DNR can help preserve dignity and ensure that medical interventions reflect personal values at the end of life. Individuals with serious chronic conditions, those nearing the end of life, or those who wish to document firm preferences about resuscitation find it a useful and direct tool. The order reduces uncertainty for family members and healthcare providers during emergencies and can be an important component of a broader plan addressing medical wishes.
Other reasons to establish a DNR order include the desire to limit invasive procedures that may not improve quality of life and to relieve loved ones from making difficult decisions without guidance. For those undergoing major medical procedures, having DNR instructions clarified can prevent unwanted interventions if complications occur. Ultimately, a DNR order offers a clear, legally recognized method to communicate resuscitation preferences, providing peace of mind that your medical choices will be respected in Pomona settings.
Common Situations Where a DNR Order May Be Appropriate
People often consider a DNR order in situations involving chronic progressive illness, advanced age with frailty, or when preparing for high-risk medical procedures. A DNR can be appropriate when the burdens of resuscitation are likely to outweigh potential benefits, or when a person prefers comfort-focused care instead of aggressive lifesaving measures. In Pomona, having the order in place helps ensure that first responders and hospital staff know the individual’s resuscitation preference and can act accordingly in an emergency without causing unnecessary interventions.
Serious Chronic Illness
Individuals living with progressive or serious chronic illnesses may opt for a DNR order to prevent aggressive interventions that do not align with their goals for quality of life. For residents of Pomona facing long-term health challenges, documenting a DNR ensures that resuscitation efforts are not initiated when outcomes are unlikely to provide meaningful recovery. This decision can allow medical care to focus on comfort measures and symptom management, consistent with the patient’s values and overall treatment objectives.
Advanced Age and Frailty
Older adults who wish to avoid invasive resuscitation that could compromise remaining quality of life may find a DNR order appropriate. In Pomona, a DNR can help clarify preferences for end-of-life care, reduce the likelihood of aggressive interventions, and support a plan centered on comfort and dignity. Discussing options with healthcare providers and family members ensures that choices reflect realistic expectations and personal priorities, while also making it easier for caregivers to honor those preferences during emergencies.
Preparation for Major Medical Procedures
Patients scheduled for major surgery or risky medical treatments sometimes set a DNR order to specify their wishes should a life-threatening complication occur. In Pomona, documenting resuscitation preferences before a procedure provides clarity for surgical teams and family members. This planning can be revisited after recovery or if circumstances change, allowing the individual to update directives based on new health information or evolving goals. Clear documentation reduces ambiguity in urgent situations and supports alignment between treatment and personal values.
We Help Pomona Residents with DNR Orders and Advance Planning
Why Work with LA Estate Plans for Your DNR Needs
Choosing assistance from LA Estate Plans gives Pomona residents access to a team familiar with California law and the local healthcare environment. We focus on helping clients document their resuscitation choices accurately, explaining the differences between DNR orders, living wills, and powers of attorney. Our process emphasizes clear communication and careful documentation so that medical providers and family members can find and understand your directives when needed. The aim is to make the planning process less stressful and more effective for everyone involved.
We provide practical guidance through every stage of drafting and executing DNR orders, including discussions with physicians and strategies for distributing copies to relevant parties. Our approach includes ensuring forms meet California standards, coordinating with medical staff as appropriate, and assisting with updates over time. For residents of Pomona, this supportive process helps maintain continuity between medical intentions and legal documentation, fostering confidence that your healthcare preferences will be respected and followed.
Our office is reachable at 310-634-1006 for scheduling consultations and asking preliminary questions about DNR orders and related planning. We strive to make legal steps understandable and manageable, helping you take concrete actions that protect your wishes. Whether you need a single DNR order or a comprehensive set of advance directives, we guide clients in Pomona through documentation, communication, and ongoing review to keep plans current and accessible.
Contact LA Estate Plans to Discuss Your DNR Order in Pomona
How We Handle DNR Orders and Advance Directives
Our process begins with a conversation to understand your health, personal values, and goals for medical care, followed by drafting documents tailored to California requirements. We explain how DNR orders interact with living wills and powers of attorney and help you decide which combination best meets your needs. The process includes preparing appropriate forms, coordinating necessary physician involvement, arranging signing and witnessing, and advising on distribution to medical providers and family members in Pomona to ensure documents are available when needed.
Step One — Initial Consultation and Information Gathering
During the initial consultation, we review your medical condition, values, and the specific outcomes you hope to achieve with a DNR order. We collect relevant personal and healthcare information and discuss how a DNR fits within a broader plan. This is an opportunity to ask questions about California procedures, facility forms, and how to communicate directives to family and providers. The goal is to create clear documentation that aligns with your wishes and is practical for emergency and ongoing healthcare settings in Pomona.
Discussing Medical Preferences and Goals
We spend time exploring your care priorities, including which interventions you would accept or decline and the outcomes you find acceptable. This conversation helps frame the content of a DNR order and any accompanying directives, providing a foundation for writing clear instructions. Understanding your preferences enables us to draft documents that reflect real choices and communicate them effectively to healthcare providers and decision-makers in Pomona.
Collecting Required Personal and Medical Information
To prepare accurate documents, we gather necessary details such as medical history, primary physician information, and the names of potential decision-makers. This information supports proper completion of DNR forms and related advance directives. Having complete records helps ensure forms are executed correctly and reduces delays in medical settings where prompt access to directives is important.
Step Two — Document Preparation and Review
After gathering information, we draft the DNR order and any related advance directive documents tailored to your preferences and California legal norms. We review each document with you to confirm clarity and accuracy, making adjustments to ensure the language expresses your intentions precisely. This stage includes checking for required signatures, potential physician involvement, and verifying whether facility-specific forms are necessary for enforceability in Pomona medical settings.
Customizing Documents to Reflect Your Wishes
Drafting includes tailoring the wording to reflect your specific preferences about resuscitation and other treatments, while leaving clear guidance for decision-makers. We avoid vague terms and aim for straightforward instructions that medical staff can follow in emergencies. Customization also considers whether you want a narrowly focused DNR or a broader advance care plan that addresses other life-sustaining treatments, ensuring the final documents align with your goals.
Review and Collaborative Revisions
We review drafts with you and make collaborative revisions until you are comfortable that the documents express your intent. This process includes explaining any legal implications and how the documents interrelate, so you understand how choices will play out in different medical scenarios. Finalizing documents together reduces the risk of ambiguity and increases the likelihood that your preferences will be honored by providers and family.
Step Three — Execution, Distribution, and Ongoing Support
Once documents are finalized, we assist with signing and witnessing procedures, and coordinate any required physician involvement to ensure the DNR is properly executed. We guide you on how to distribute copies to medical providers, family members, and anyone named to make healthcare decisions. We also provide advice on storing documents and on future updates, offering ongoing support so your directives remain current and accessible for Pomona healthcare settings.
Proper Signing and Witnessing Procedures
To ensure a DNR order is recognized, it must be executed according to California requirements, which may include physician signatures or certain witness attestations. We help arrange this process so the order will be accepted by hospitals and emergency personnel. Proper execution reduces the chance of disputes and increases the likelihood that your resuscitation preference will be honored when immediate medical action is needed.
Distribution, Accessibility, and Future Updates
After signing, we advise on distributing copies to your primary care provider, local hospital, family members, and your appointed decision-maker. Keeping a visible copy in medical records and with those likely to be present in emergencies enhances accessibility. We recommend periodic review and update of directives following health changes or life events so the DNR and related documents continue to reflect current wishes and legal requirements in Pomona and California.
The Proof is in Our Performance
Frequently Asked Questions About DNR Orders in Pomona
What is a DNR order and when is it used?
A Do Not Resuscitate order instructs medical personnel not to perform cardiopulmonary resuscitation if a person’s heart stops or they stop breathing. It is focused exclusively on resuscitation and does not by itself address other medical treatments. In Pomona and across California, a DNR must meet certain documentation standards to be recognized by healthcare providers. Often it involves a physician’s written order or completion of accepted facility forms so that emergency and hospital staff can readily identify and honor the patient’s wishes. A DNR is commonly used by individuals who want to avoid aggressive resuscitative efforts for personal, medical, or quality-of-life reasons. It is important to discuss the decision with your healthcare provider to understand how CPR and other interventions relate to your condition. Proper documentation and communication help ensure that the DNR is found and followed during emergencies, reducing ambiguity and helping medical teams act in accordance with the person’s preferences.
How do I make a DNR order legally valid in Pomona?
To make a DNR order legally valid in Pomona, follow California procedures which typically require a written order from a physician or use of specific forms recognized by hospitals and emergency services. Start by discussing your wishes with your primary care physician, who can advise on the correct documentation. Once the appropriate form or order is completed and signed, ensure it is recorded in your medical record and that copies are provided to relevant healthcare providers so it will be available when needed. Different facilities may have unique requirements, so confirm with your local hospital or long-term care facility whether additional steps are necessary. Keeping a clear, signed copy of the DNR and informing family members and your appointed decision-maker helps reduce confusion. Periodic review is important to ensure the document still reflects your current preferences and complies with any updates to local procedures or regulations.
Can I change or revoke my DNR order once it is signed?
Yes, you can change or revoke your DNR order at any time as long as you have the capacity to make that decision. To revoke, inform your physician, update your medical records, and share a written revocation or updated directive with healthcare providers and family members. Make sure any previously distributed copies of the DNR are replaced with the newer documents to prevent conflicting instructions during an emergency. If you lack capacity, the person named in your durable power of attorney for healthcare may be able to make changes if the document grants that authority. Regular communication with your healthcare team and those who would act on your behalf helps ensure that any changes are documented and understood, reducing the risk of confusion during medical emergencies in Pomona.
Who can help me prepare a DNR order and related advance directives?
Legal professionals who handle estate planning and advance directives can assist with preparing a DNR order and related documents, helping ensure the paperwork meets California requirements and reflects your wishes. Healthcare providers, particularly your primary physician, will often need to confirm or sign the order for it to be recognized. Working collaboratively with both legal and medical professionals helps create a clear, enforceable plan that medical staff and family members can follow. In Pomona, a coordinated approach adds value by addressing the legal formalities and medical considerations simultaneously. The process typically involves discussing goals, drafting documents, and arranging for signing and distribution. This ensures that directives are practical, accessible, and understood by everyone involved in care decisions.
What happens if there is no DNR order in place during an emergency?
If no DNR order exists, medical personnel are generally obligated to initiate resuscitation efforts such as CPR in the event of cardiac or respiratory arrest. This means emergency responders and hospital staff will act to attempt to restore breathing and circulation unless there is a clearly documented and legally valid order instructing otherwise. For some people, this outcome may be inconsistent with their preferences for end-of-life care, making documentation important. Having a DNR order in place helps prevent unwanted resuscitation and reduces uncertainty for family members who might otherwise be asked to make quick decisions. In Pomona, ensuring the DNR is properly recorded and communicated to medical providers increases the likelihood that your wishes will be followed during urgent situations.
How does a DNR order interact with a living will or power of attorney for healthcare?
A DNR order specifically addresses resuscitation, while a living will outlines broader treatment preferences and a durable power of attorney for healthcare names someone to make decisions on your behalf if you are incapacitated. These documents can work together so that the DNR covers CPR preferences and the living will and power of attorney address other care decisions. Combining them produces a more complete plan that guides providers and loved ones across a range of clinical scenarios. When these documents are consistent and accessible, they reduce the chance of conflicting instructions. In Pomona, it is advisable to coordinate these directives so the appointed decision-maker understands your resuscitation stance and broader treatment goals, ensuring cohesive decision-making if the need arises.
Where should I store my DNR order so medical personnel can find it?
Store copies of your DNR order in your medical record at your primary care office and the hospital where you receive care, as these are places medical personnel will check in an emergency. Give printed or digital copies to family members, your appointed decision-maker, and any long-term care facilities where you may receive treatment. Keeping a visible copy at home, such as in a medical binder or with other important documents, can help first responders locate it quickly. Communicating the document’s existence and location to those who may need to act on it is essential. Consider adding information about the DNR to medical alert systems or health apps used by your providers so that emergency teams in Pomona can access the directive without delay.
Does a DNR order affect other treatments like pain management and comfort care?
A DNR order only applies to resuscitation efforts like CPR and does not automatically limit other forms of medical care such as pain management, antibiotics, or comfort measures unless those preferences are stated in a living will or similar directive. If you want to address additional treatments, you should include them in a living will or discuss them with your appointed decision-maker so the full scope of your wishes is documented and understood by care providers. To ensure a comprehensive approach, combine a DNR with broader advance directives that specify preferences for other interventions and symptom control. This helps medical teams in Pomona know whether to pursue treatments beyond resuscitation, aligning care with your overall goals and preserving comfort and dignity.
Will emergency responders honor a DNR order outside the hospital?
Emergency responders will follow a DNR order if it is presented in a form they recognize and complies with local and state rules. Outside the hospital, first responders look for clear documentation such as a physician-signed order or a standardized form that indicates the patient’s resuscitation preference. Because practices can vary, it is important to know which documents will be honored in different settings and to keep copies accessible in places where emergencies might occur. In Pomona, coordinating with local EMS and hospitals about acceptable formats can improve the likelihood that a DNR will be recognized in the field. Providing emergency contact information and ensuring that family members or caregivers have the directive available also helps first responders act according to the patient’s wishes.
Should I discuss my DNR decision with family members and doctors?
Yes. Discussing your DNR decision with family members, close friends, and your healthcare providers is essential to ensure they understand your reasons and can support your wishes. Clear conversations reduce the risk of disputes and help those who may be called upon to carry out or advocate for your preferences in medical settings. An informed and consenting decision-maker can be especially helpful if questions arise about how to interpret your directive during a crisis. Talking with your physician clarifies medical implications and ensures that the DNR is consistent with your health status and care goals. Sharing signed copies of the directive with family and providers and explaining where to find the documents increases the chance that your instructions will be located and honored when needed in Pomona.