04/24/2026
Yes, and often are.
DNR, short for Do Not Resuscitate, refers to instructions for medical treatment and courses of action. Essentially, if certain medical conditions exist, then attending medical professionals are to only take specific actions, or more typically, none at all, hence “Do not resuscitate”.
These instructions can be included in a Power of Attorney for Personal Care to address what should be done due to terminal illness or injury. The instructions range from keeping one comfortable prior to imminent death without heroic measures to sustain life, up to specific instructions not to revive an individual at all due to metabolic failure or life ending injury.
Instructions should specifically indicate if basic or advanced cardiopulmonary resuscitation (CPR) is to be initiated with actions including chest compression, defibrillation, artificial ventilation, and resuscitation drugs etc. There are standard clauses which satisfy medical requirements.
It is important to note, a POA for Care is intended for long-term medical care decision making. It is not intended for life-saving, emergency care provided by First Responders due to an accident or medical event such as stroke or heart attack. First Responders are guided by procedures established by the Ministry of Health, not the Substitute Decisions Act which governs POAs.
First Responders can respond to a DNR Confirmation Form kept on a person, or posted in their home on the fridge in the event of injury or a medical event. Why and how would this form be used?
Imagine an individual suffers from a terminal illness and has decided when their health really fails, they do not want resuscitation. They accept death is inevitable and include DNR instructions in the POA for Care. The individual goes out shopping and suffers a heart attack in public. First Responders are called. What happens?
If the individual has a copy of their DNR Confirmation Form on their person, First Responders honour the form and do not perform resuscitation procedures. Without the form, even if the person happens to carry their POA for Care with them, which is highly unlikely and unwise, the First Responders are not obligated to follow the POA and resuscitation may be performed.
So yes, DNR instructions can be included in a POA for Care. However, if someone has concerns about their instructions not being followed due to a random event requiring First Responder attention, a DNR Confirmation Form should also be prepared and kept readily available.
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