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Are Doctors and/or hospitals legally required to respect a "do not resuscitate" request in a patient's records?The answer may surprise you, but no.Doctors have a ethical requirement to respect the wishes of their patients, and where uncertainty exists use their honest judgement to make the best guess they can of what those wishes are. A record that a patient had requested to be DNR is very strong evidence that that is what the patient would have wanted, and creates a strong ethical burden to consider that information when a guess is made about what a patient would want done. That said, an ethical burden is not remotely the same thing as a legal requirement.Firstly, let us exclude the civil malpractice suit from discussion, as there are no limits on the what kinds of things a person may bring such a suit for, and as such, the fact that a person might sue you for not doing something doesn’t mean that you had a legal obligation to do that thing.It’s also important to realize that while the law provides general guidelines about what requirements are, only judges and the courts can definitively interpret how the law applies to a specific scenario. This means that in effect, if a doctor and hospital is dead set in their disagreement with you about a DNR, no amount of documentation can legally force them to do anything unless a judge gets involved.With that out of the way, let us get the real meat of the matter. A physician or hospital is generally required to honor a properly executed advance directive form when such a form is presented to them in the manner specified in state law. Legally speaking, that form is what a DNR is. Some states will allow photocopies, some require the original document. A random hospital form isn’t a DNR, telling your family “I don’t want to be resuscitated” isn’t a DNR, a random piece of paper with your wishes scrawled on it isn’t a DNR either, neither are DNR necklaces, tattoo’s, or wallet cards. These may be good evidence of the persons wishes, but they are still just evidence to be weighed in comparison to the rest of the situation and are not legally binding. If a doctor is doing CPR, very few of those things will get him/her to stop. If you bring out an original of the official state form though, people will generally be more likely to stop.That said, even an original DNR might be form might be only respected under certain circumstances, and a suicide attempt or injury in a criminal act may cause the DNR to be ignored. The DNR will typically also have to have some sort of legitimate reasoning behind it to hold water. A 19 year health adult with a perfectly filled out DNR form who comes in by EMS after cutting their wrists will have their DNR form ignored. Same thing for the gunshot victim that is left in the ER driveway with DNR form staples to his chest. The circumstances raise legitimate questions about the validity of the form and it is appropriate to proceed with keeping the patient alive until those questions are fully answered.The system makes it difficult to prove a DNR by design. If the system ever gets it wrong, a person dies against their wishes. The state assumes that patients wanting to live is the default and intentionally does very little to tie the hands of doctors trying to save lives.
How does dementia lead to organ failure?You have one answer that is well researched and scientific. I keep getting these questions with people assuming I’m a doctor or nurse; I’m not; just a daughter watching her mother succumb to frontotemporal dementia.I keep asking “how will she die?” of the various doctors and professionals we’ve met with during this journey.They all say that she will eventually lose the ability to swallow; therefore, her body will not receive nourishment. Her organs will shut down as a result. She is being regularly tested for “blood albumin levels” (I researched this, and it is a determination of proteins in the blood. Apparently, she is at a “level 4” where a healthy person would be a 15.)Since I am her health care proxy, I had to fill out an end-of-life directive (in my state, Massachusetts, it’s called a “MOLST” form). I noticed that the form includes instructions for tube-feeding in the event my mother can’t swallow regular food. This presented me with a dilemma; I know my mother would hate a feeding tube, but otherwise, she’d literally starve to death. I sought out the director of her facility for help. This director told me to refuse any artificial feeding or respiration, and to enter “DNR.”I asked why, and was told that my mother would have to be hospitalized, sedated, and fed through a tube. She would be unconscious, and eventually, her brain would die of the dementia. So, after perhaps months on artificial life support, I would be placed in the position of “pulling the plug” -and essentially killing- my mother.My mother is 88, and has led a good life until now. It is clear her brain is terribly damaged by disease; I don’t know how she is still alive, as she doesn’t seem to understand what food is anymore, and needs help to eat.The director of the facility said it is best to let the disease run its course. When the time comes, she’ll “hospice in place” and pass without being in a hospital setting with machines pumping her with air and nourishment.Bottom (unscientific) line: the brain is an organ, and it runs the rest of the body. When it cannot perform the most basic act of self-preservation, ingesting food and water, the rest of the organs fail, too.
Do military members have to pay any fee for leave or fiancee forms?NOOOOOOO. You are talking to a military romance scammer. I received an email from the US Army that directly answers your question that is pasted below please keep reading.I believe you are the victim of a military Romance Scam whereas the person you are talking to is a foreign national posing as an American Soldier claiming to be stationed overseas on a peacekeeping mission. That's the key to the scam they always claim to be on a peacekeeping mission.Part of their scam is saying that they have no access to their money that their mission is highly dangerous.If your boyfriend girlfriend/future husband/wife is asking you to do the following or has exhibited this behavior, it is a most likely a scam:Moves to private messaging site immediately after meeting you on Facebook or SnapChat or Instagram or some dating or social media site. Often times they delete the site you met them on right after they asked you to move to a more private messaging siteProfesses love to you very quickly & seems to quote poems and song lyrics along with using their own sort of broken language, as they profess their love and devotion quickly. They also showed concern for your health and love for your family.Promises marriage as soon as he/she gets to state for leave that they asked you to pay for.They Requests money (wire transfers) and Amazon, iTune ,Verizon, etc gift cards, for medicine, religious practices, and leaves to come home, internet access, complete job assignments, help sick friend, get him out of trouble, or anything that sounds fishy.The military does provide all the soldier needs including food medical Care and transportation for leave. Trust me, I lived it, you are probably being scammed. I am just trying to show you examples that you are most likely being connned.Below is an email response I received after I sent an inquiry to the US government when I discovered I was scammed. I received this wonderful response back with lots of useful links on how to find and report your scammer. And how to learn more about Romance Scams.Right now you can also copy the picture he gave you and do a google image search and you will hopefully see the pictures of the real person he is impersonating. this doesn't always work and take some digging. if you find the real person you can direct message them and alert them that their image is being used for scamming.Good Luck to you and I'm sorry this may be happening to you. please continue reading the government response I received below it's very informative. You have contacted an email that is monitored by the U.S. Army Criminal Investigation Command. Unfortunately, this is a common concern. We assure you there is never any reason to send money to anyone claiming to be a Soldier online. If you have only spoken with this person online, it is likely they are not a U.S. Soldier at all. If this is a suspected imposter social media profile, we urge you to report it to that platform as soon as possible. Please continue reading for more resources and answers to other frequently asked questions: How to report an imposter Facebook profile: Caution-https://www.facebook.com/help/16... < Caution-https://www.facebook.com/help/16... > Answers to frequently asked questions: - Soldiers and their loved ones are not charged money so that the Soldier can go on leave. - Soldiers are not charged money for secure communications or leave. - Soldiers do not need permission to get married. - Soldiers emails are in this format: firstname.lastname@example.org < Caution-mailto: email@example.com > anything ending in .us or .com is not an official email account. - Soldiers have medical insurance, which pays for their medical costs when treated at civilian health care facilities worldwide – family and friends do not need to pay their medical expenses. - Military aircraft are not used to transport Privately Owned Vehicles. - Army financial offices are not used to help Soldiers buy or sell items of any kind. - Soldiers deployed to Combat Zones do not need to solicit money from the public to feed or house themselves or their troops. - Deployed Soldiers do not find large unclaimed sums of money and need your help to get that money out of the country. Anyone who tells you one of the above-listed conditions/circumstances is true is likely posing as a Soldier and trying to steal money from you. We would urge you to immediately cease all contact with this individual. For more information on avoiding online scams and to report this crime, please see the following sites and articles: This article may help clarify some of the tricks social media scammers try to use to take advantage of people: Caution-https://www.army.mil/article/61432/< Caution-https://www.army.mil/article/61432/> CID advises vigilance against 'romance scams,' scammers impersonating Soldiers Caution-https://www.army.mil/article/180749 < Caution-https://www.army.mil/article/180749 > FBI Internet Crime Complaint Center: Caution-http://www.ic3.gov/default.aspx< Caution-http://www.ic3.gov/default.aspx> U.S. Army investigators warn public against romance scams: Caution-https://www.army.mil/article/130...< Caution-https://www.army.mil/article/130...> DOD warns troops, families to be cybercrime smart -Caution-http://www.army.mil/article/1450...< Caution-http://www.army.mil/article/1450...> Use caution with social networking Caution-https://www.army.mil/article/146...< Caution-https://www.army.mil/article/146...> Please see our frequently asked questions section under scams and legal issues. Caution-http://www.army.mil/faq/ < Caution-http://www.army.mil/faq/ > or visit Caution-http://www.cid.army.mil/ < Caution-http://www.cid.army.mil/ >. The challenge with most scams is determining if an individual is a legitimate member of the US Army. Based on the Privacy Act of 1974, we cannot provide this information. If concerned about a scam you may contact the Better Business Bureau (if it involves a solicitation for money), or local law enforcement. If you're involved in a Facebook or dating site scam, you are free to contact us direct; (571) 305-4056. If you have a social security number, you can find information about Soldiers online at Caution-https://www.dmdc.osd.mil/appj/sc... < Caution-https://www.dmdc.osd.mil/appj/sc... > . While this is a free search, it does not help you locate a retiree, but it can tell you if the Soldier is active duty or not. If more information is needed such as current duty station or location, you can contact the Commander Soldier's Records Data Center (SRDC) by phone or mail and they will help you locate individuals on active duty only, not retirees. There is a fee of $3.50 for businesses to use this service. The check or money order must be made out to the U.S. Treasury. It is not refundable. The address is: Commander Soldier's Records Data Center (SRDC) 8899 East 56th Street Indianapolis, IN 46249-5301 Phone: 1-866-771-6357 In addition, it is not possible to remove social networking site profiles without legitimate proof of identity theft or a scam. If you suspect fraud on this site, take a screenshot of any advances for money or impersonations and report the account on the social networking platform immediately. Please submit all information you have on this incident to Caution-www.ic3.gov < Caution-http://www.ic3.gov > (FBI website, Internet Criminal Complaint Center), immediately stop contact with the scammer (you are potentially providing them more information which can be used to scam you), and learn how to protect yourself against these scams at Caution-http://www.ftc.gov < Caution-http://www.ftc.gov > (Federal Trade Commission's website)
How can I fill out Google's intern host matching form to optimize my chances of receiving a match?I was selected for a summer internship 2016.I tried to be very open while filling the preference form: I choose many products as my favorite products and I said I'm open about the team I want to join.I even was very open in the location and start date to get host matching interviews (I negotiated the start date in the interview until both me and my host were happy.) You could ask your recruiter to review your form (there are very cool and could help you a lot since they have a bigger experience).Do a search on the potential team.Before the interviews, try to find smart question that you are going to ask for the potential host (do a search on the team to find nice and deep questions to impress your host). Prepare well your resume.You are very likely not going to get algorithm/data structure questions like in the first round. It's going to be just some friendly chat if you are lucky. If your potential team is working on something like machine learning, expect that they are going to ask you questions about machine learning, courses related to machine learning you have and relevant experience (projects, internship). Of course you have to study that before the interview. Take as long time as you need if you feel rusty. It takes some time to get ready for the host matching (it's less than the technical interview) but it's worth it of course.
How do I fill out the form of DU CIC? I couldn't find the link to fill out the form.Just register on the admission portal and during registration you will get an option for the entrance based course. Just register there. There is no separate form for DU CIC.
How do you know if you need to fill out a 1099 form?Assuming that you are talking about 1099-MISC. Note that there are other 1099s.check this post - Form 1099 MISC Rules & RegulationsQuick answer - A Form 1099 MISC must be filed for each person to whom payment is made of:$600 or more for services performed for a trade or business by people not treated as employees;Rent or prizes and awards that are not for service ($600 or more) and royalties ($10 or more);any fishing boat proceeds,gross proceeds of $600, or more paid to an attorney during the year, orWithheld any federal income tax under the backup withholding rules regardless of the amount of the payment, etc.
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Do you need a lawyer for a DNR?A prehospital DNR order is generally a simple, one-page document; you don't need a lawyer to prepare it. You do, however, need to talk to your physician, who will sign your DNR. ... A prehospital DNR order won't have any effect unless emergency medical personnel see it before they begin CPR.
Why would someone have a DNR?DNR means Do Not Resuscitate. It's a legal document that patients or (more often) their loved ones sign in the presence of witnesses. ... Also, implicit is that the emergency \u2014 usually a heart or lung problem \u2014 we're not treating because of the DNR order will quickly prove fatal.
What makes a DNR valid?Do Not Resuscitate (DNR), also known as no code or allow natural death, is a legal order, written or oral depending on country, indicating that a person does not want to receive cardiopulmonary resuscitation (CPR) if that person's heart stops beating.
Does a DNR have to be signed?Yes. The physician you consulted about making your CPR directive must sign it. It doesn't have to be signed.
Does DNR mean do not treat?Do-Not-Resuscitate (DNR) Orders. A do-not-resuscitate (DNR) order placed in a person's medical record by a doctor informs the medical staff that cardiopulmonary resuscitation (CPR) should not be attempted. ... A DNR order does not mean “do not treat.” Rather, it means only that CPR will not be attempted.