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I have a copy of my moms DNR in my vehicle. It's worthless now, because she's been dead almost 3 years. But I had it in case she didn't have hers with her.
We put a DNR on mom during her last stay in the hospital. She wasn't - couldn't - going to get better and we chose quality of life over quantity. She knew, and was ready to go.
Was it hard? Yes, but it was the only right thing to do.