Editing Do not resuscitate (section)

==Storage and communication==

In the US, [[Physician Orders for Life-Sustaining Treatment]] (POLST) documents are the usual place where a DNR is recorded outside hospitals. 

A disability rights group criticizes the process, saying doctors are trained to offer very limited scenarios with no alternative treatments, and steer patients toward DNR. They also criticize that DNR orders are absolute, without variations for context.<ref name="coleman">{{Cite web |url=http://notdeadyet.org/full-written-public-comment-disability-related-concerns-about-polst |title=Full Written Public Comment: Disability Related Concerns About POLST |last=Coleman |first=Diane | name-list-style = vanc |date=2013-07-23 |website=Not Dead Yet |access-date=2018-12-12}}</ref> The Mayo Clinic found in 2013 that "Most patients with DNR/DNI (do not intubate) orders want CPR and/or intubation in hypothetical clinical scenarios," so the patients had not had enough explanation of the DNR/DNI or did not understand the explanation.<ref name="jesus">{{cite journal | vauthors = Jesus JE, Allen MB, Michael GE, Donnino MW, Grossman SA, Hale CP, Breu AC, Bracey A, O'Connor JL, Fisher J | title = Preferences for resuscitation and intubation among patients with do-not-resuscitate/do-not-intubate orders | journal = Mayo Clinic Proceedings | volume = 88 | issue = 7 | pages = 658–65 | date = July 2013 | pmid = 23809316 | doi = 10.1016/j.mayocp.2013.04.010 }}</ref>

=== Medical jewellery ===
[[Medical bracelet]]s, medallions, and wallet cards from approved providers allow for identification of DNR patients in home or non-hospital settings. In the US each state has its own DNR policies, procedures, and accompanying paperwork for emergency medical service personnel to comply with such forms of DNR.<ref name="americanmedical-id.com">{{Cite web|url=https://www.americanmedical-id.com/dnr|title=DNR Guidelines for Medical ID Wearers|website=www.americanmedical-id.com|access-date=2019-08-02}}</ref>

=== DNR tattoos ===
There is a growing trend of using DNR tattoos, commonly placed on the chest, to replace other forms of DNR, but these often cause confusion and ethical dilemmas among healthcare providers.<ref>{{Cite journal|last1=Holt|first1=Gregory E.|last2=Sarmento|first2=Bianca|last3=Kett|first3=Daniel|last4=Goodman|first4=Kenneth W.|date=2017-11-30|title=An Unconscious Patient with a DNR Tattoo|journal=New England Journal of Medicine|volume=377|issue=22|pages=2192–2193|doi=10.1056/NEJMc1713344|pmid=29171810|issn=0028-4793|doi-access=free}}</ref> Laws vary from place to place regarding what constitutes a valid DNR and currently do not include tattoos.<ref name="americanmedical-id.com"/> End of life (EOL) care preferences are dynamic and depend on factors such as health status, age, prognosis, healthcare access, and medical advancements. DNR orders can be rescinded while tattoos are far more difficult to remove. At least one person decided to get a DNR tattoo based on a dare while under the influence of alcohol.<ref>{{Cite journal|last1=Cooper|first1=Lori|last2=Aronowitz|first2=Paul|date=October 2012|title=DNR Tattoos: A Cautionary Tale|journal=Journal of General Internal Medicine|volume=27|issue=10|pages=1383|doi=10.1007/s11606-012-2059-8|pmid=22549297|pmc=3445694|issn=0884-8734|doi-access=free}}</ref>