Table of Contents
- Do Not Resuscitate (DNR) vs. Living Will: What’s the Difference?
- 1. What is a Do Not Resuscitate (DNR) Order?
- Key Features of a DNR Order
- Where is a DNR Order Used?
- 2. What is a Living Will?
- Key Features of a Living Will
- Where is a Living Will Used?
- 3. Key Differences Between a DNR Order & a Living Will
- 4. Do You Need Both a DNR and a Living Will?
- When You Need a DNR
- When You Need a Living Will
- 5. How to Get a DNR or Living Will
- Creating a Do Not Resuscitate (DNR) Order
- Creating a Living Will
- 6. Final Thoughts: Which Document is Right for You?

Do Not Resuscitate (DNR) vs. Living Will: What’s the Difference?
1. What is a Do Not Resuscitate (DNR) Order?
Key Features of a DNR Order
- Prevents CPR, defibrillation, or advanced cardiac life support (ACLS) in case of cardiac arrest.
- Issued by a doctor and must be included in your medical records.
- Does not affect other treatments such as pain management, antibiotics, or feeding tubes.
- Often used for individuals with terminal illnesses, severe frailty, or poor quality of life expectations.
Where is a DNR Order Used?
- Hospitals & Nursing Homes – Medical staff will follow the DNR order if cardiac arrest occurs.
- Emergency Medical Services (EMS) – If you want paramedics to honor your DNR, you may need an out-of-hospital DNR or Portable DNR.
- At Home – A clearly visible DNR order (e.g., on a fridge or medical bracelet) ensures paramedics follow it.
2. What is a Living Will?
Key Features of a Living Will
- Specifies your wishes for life-sustaining treatments (e.g., ventilators, feeding tubes, dialysis).
- Takes effect when you are permanently unconscious, in a coma, or terminally ill.
- Allows you to accept or refuse artificial nutrition, hydration, and pain management.
- Helps family members and doctors make clear, informed decisions about your care.
Where is a Living Will Used?
- Hospitals & Long-Term Care Facilities – Guides doctors on whether to provide life-sustaining interventions.
- Hospice & Palliative Care – Ensures your comfort preferences are followed.
- Legal & Family Planning – Helps loved ones understand your treatment preferences in serious medical situations.
3. Key Differences Between a DNR Order & a Living Will
Feature | Do Not Resuscitate (DNR) | Living Will |
Purpose | Prevents CPR in case of cardiac arrest | Specifies overall life-support & medical treatment preferences |
Who Issues It? | Doctor or healthcare provider | Individual (you) |
When Does It Take Effect? | Only when heart or breathing stops | When you are unconscious, in a coma, or terminally ill |
Covers CPR? | Yes (specifically prevents it) | May include instructions on CPR, but not limited to it |
Covers Ventilators & Feeding Tubes? | No | Yes |
Legally Binding? | Yes, when signed by a doctor | Yes, when properly executed per state laws |
Used in Hospitals? | Yes | Yes |
Used by EMS? | Yes (if a portable DNR is provided) | No (EMS usually follows emergency protocol unless a DNR exists) |
Affects Other Treatments? | No (pain relief & non-CPR treatments still allowed) | Yes (can specify what life-sustaining treatments to refuse) |
4. Do You Need Both a DNR and a Living Will?
When You Need a DNR
- You have a terminal illness and do not want CPR in case of cardiac arrest.
- You are elderly or frail, and CPR would likely cause more harm than good.
- You have advanced-stage disease (e.g., late-stage cancer, ALS, or severe heart failure).
- You prefer to focus on comfort care rather than aggressive life-saving interventions.
When You Need a Living Will
- You want to specify which life-sustaining treatments you do or do not want.
- You want to clarify your preferences for ventilators, feeding tubes, and dialysis.
- You want to relieve your family of the burden of making end-of-life decisions.
- You have strong personal or religious beliefs regarding medical care.
5. How to Get a DNR or Living Will
Creating a Do Not Resuscitate (DNR) Order
- Talk to your doctor – They must issue and sign the DNR order.
- Complete state-specific forms – Some states require specific DNR forms to be valid.
- Make it visible – Post it at home, carry a DNR card, or wear a medical bracelet.
- Notify family & caregivers – Ensure loved ones and medical providers know about your DNR.
Creating a Living Will
- Download an official Living Will form – Available from your state’s government website or an estate planning attorney.
- Specify your treatment preferences – Be clear about life-support measures, pain management, and organ donation.
- Sign it according to state law – Some states require witnesses or notarization.
- Distribute copies – Give copies to your doctor, hospital, healthcare proxy, and trusted family members.
- Review & update as needed – Adjust your Living Will if your medical wishes change.
6. Final Thoughts: Which Document is Right for You?
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