What Are DNRs & MOLSTs?

Key Takeaways

• DNRs and MOLST orders must be created and signed by your doctor, not downloaded online or completed with an attorney—they're medical orders, not legal documents, making them more binding than other healthcare directives.
• Ensure your DNR is properly executed with correct signatures and placement; even minor errors (like signing on the wrong line) can cause EMTs to refuse to honor it and resuscitate you against your wishes.
• MOLST is more nuanced than a simple DNR—it allows you to discuss specific treatment scenarios with your doctor and decide which types of life-sustaining treatment you want in different situations, creating a more informed care plan.
• If you have a DNR at home and call 911, EMTs may resuscitate you anyway if they question the document's validity; consider your preferences carefully before calling emergency services.
• Medicare now reimburses doctors for end-of-life care discussions, making it easier to schedule time with your physician to complete these documents—typically appropriate when you're older or facing health challenges, not when young and healthy.