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=== 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=2192β2193|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 DNR orders can be rescinded while tattoos are far more difficult to remove.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>
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