Community resources: - Christiana Care Health System

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Do not resuscitate (DNR)Christiana Care Visiting Nurse Association (VNA) is committed to preserving life and limiting painand suffering, especially at the end of life. VNA recognizes your right to choose the care you receive.This section discusses your right to refuse CPR if you stop breathing or if your heart stops.What is a DNR?The do not resuscitate order (DNR) is a written doctor’s order. It means that in the event of cardiac orrespiratory arrest cardiopulmonary resuscitation (CPR) will not be started by the nurse, therapist oraide, and 911 will not be called.Will I receive any treatment with a DNR?Even when there is a DNR order, patients continue to receive comfort and support through othertreatments. The physician’s order may also include:Regular nursing visits to assess, treat and control pain through medication or other modalities,along with regular communication with your physician.Home health aide services to ensure a safe and comfortable environment through personalcare, including bathing, skin care and oral hygiene.Who should I tell about my DNR order?Tell your family and those caring for you at home or in a nursing home that you do not wish to beresuscitated. They need to understand that if they call 911 or take you to the emergency room,emergency medical staff will begin CPR if needed. This decision also needs to be discussed with yourphysician to ensure your wishes are met. Pronouncement of death in the home may occur only ifordered by your physician.What if I am in the hospital?If you are hospitalized and have requested a DNR order, your doctor will write this order on yourmedical chart so that the staff caring for you will know your wishes.What if I change my mind?A do not resuscitate (DNR) order can be canceled at any time by telling your doctor or health careprovider that you no longer want the order. The DNR order will be removed from your medical chart.What if I have questions?For questions about advance directives or DNR orders, call any of the following:Source Location PhonePatient Relations Christiana Hospital 302-733-1340Wilmington Hospital 302-428-4608Pastoral Care Christiana Hospital 302-733-1280Wilmington Hospital 302-428-2780State of Delaware New Castle County 302-255-9390 orDivision of Services for Aging Adults Kent & Sussex Counties 1-800-223-9074with Physical Disabilities10
Disaster planning (emergency preparedness)In an emergency there is seldom time to act. Planning ahead is a good way to protect yourself ifdisaster strikes. Use the tips below to create your own emergency plan.Know your emergency resources:KYW Radio Station 1060 a.m.American Red Cross: (302) 656-6620 or (800) 777-6620.Delaware Division of Public Health: (302) 744-4700.Fire and Police: 911.Create an emergency plan:Meet with family members to discuss how to respond in the event of a fire, severe weather,earthquake or other emergencies.Discuss how to handle power outages or personal injury.Draw a floor plan of your home. Mark two escape routes for each room.Keep emergency telephone numbers near your phone. Include one out-of-state family memberor friend to call if separated during a disaster since it is often easier to call out-of-state during adisaster.Teach children how and when to call 911. Also teach them how to call the emergency contactperson (family or friend) in the event of an emergency.Choose one emergency meeting place near your home in case of fire, and another outside yourneighborhood in case disaster prevents your return home.Keep family records in a water and fire-proof container.Take a basic CPR or first aid course.Gather disaster supplies:Drinking water – 1 gallon per person per day.Canned food and a manual can opener (soups, stews, baked beans, pasta, meat, tuna,vegetables and fruit).Dry goods (crackers, honey, peanut butter, syrup, jam, salt, pepper, sugar, instant coffee, tea).Clothing and footwear.Blankets or sleeping bags.Prescription medications and a first aid kit.A battery-powered radio, flashlight and extra batteries.An extra set of car keys and cash or credit cards.A list of family physicians or important health information including serial numbers for medicaldevices such as a pacemaker.Special items for children, elderly or disabled family members.Contact the closest hospital for emergency medicine and life-support equipment.11
Page 1 and 2: Community resources:Delaware State
Page 3 and 4: One Reads Way, Suite 100 New Castle
Page 5 and 6: Table of ContentsTable of Contents.
Page 7 and 8: Patient bill of rightsHome care con
Page 9 and 10: Take control of your health (speak
Page 11 and 12: Advance directivesOnly you have the
Page 13: Do I have to write an advance direc
Page 17 and 18: ClothingClean your eyeglass lenses
Page 19 and 20: Adapting your homeKitchen Yes NoIs
Page 21 and 22: Needle and lancet safetyIf you rece
Page 23 and 24: Use of cold in relieving painUse of
Page 25 and 26: How we may use and disclose medical
Page 27 and 28: Lawsuits and disputes. If you are i
Page 29 and 30: Changes to This noticeWe can change
Page 31 and 32: Your length of service from VNA and
Page 33 and 34: Condition Call VNA or physican Call
Page 35 and 36: Medication listName _______________

Community resources: - Christiana Care Health System

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