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DNR (Do Not Resuscitate): This document is used for those who have decided that in the event their breathing or heart stops, they would not like heroic measures to be performed to attempt to restart their lungs or heart. Medical Orders for Life-Sustaining Treatment (MOLST): This document is the least known.
MOLST is intended for patients with serious health conditions who: Want to avoid or receive any or all life-sustaining treatment; Reside in a long-term care facility or require long-term care services; and/or. Might die within the next year.
THE PHYSICIAN OR NURSE PRACTITIONER KEEPS A COPY. This is a medical order form that tells others the patients wishes for life-sustaining treatment. A health care professional must complete or change the MOLST form based on the patients current medical condition, values, wishes, and MOLST Instructions.
Stated simply: A do-not resuscitate order says that if your heart stops beating, or if you stop breathing, you dont want to be resuscitated. An advance directive is more general. You can specify your wishes if you are incapacitated.
If the patient loses capacity, the patients legally authorized representative has the legal right to reverse decisions documented on the MOLST form, but the legally authorized representative should always consider the patients wishes and goals of care.
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An Advance Directive is a more general statement that you will either accept or decline life sustaining treatment in the event you become incapacitated and cannot speak for yourself. On the other hand, a MOLST form contains medical orders about specific life-sustaining treatments.
For example, DNR (Do Not Resuscitate order) issued on a MOLST form is effective in hospitals, nursing homes and community settings. The MOLST serves as a single document that contains a patients goals and preferences regarding: Resuscitation instructions when the patient has no pulse and/or is not breathing.

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