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Decisions relating to DNA CPR Dr Andrew TysoeCalnon Lead ConsultantObjectives What are the legalities? What choices do patients have? Guidance on what to do? What to say to patients and their relatives?
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How to fill out decisions relating to dnacpr

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How to fill out decisions relating to DNACPR:

01
Understand the purpose: DNACPR stands for Do Not Attempt Cardiopulmonary Resuscitation. It is a decision made by healthcare professionals to prevent the application of CPR if the patient's heart or breathing stops. This decision is typically made for patients who have a poor prognosis or who have expressed their preference to not receive aggressive life-saving measures.
02
Consult medical professionals: The decisions relating to DNACPR should always be made in consultation with the patient (if possible) and their healthcare team. Medical professionals, including doctors and nurses, will have the necessary expertise to assess the patient's condition and determine whether a DNACPR decision is appropriate.
03
Evaluate the patient's medical status: Medical professionals need to carefully evaluate the patient's medical condition and overall prognosis to determine if a DNACPR decision is necessary. This assessment may include reviewing the patient's medical history, conducting physical examinations, and analyzing diagnostic test results.
04
Involve the patient and their family: If the patient is able to actively participate in the decision-making process, their preferences and wishes should be taken into consideration. The healthcare team should explain the implications and potential outcomes of a DNACPR decision to the patient and their family, allowing them to ask questions and express any concerns.
05
Document the decision: Once the decision has been made, it should be clearly documented in the patient's medical records. This documentation typically includes the rationale behind the decision, the individuals involved in the decision-making process, and any discussions or conversations that took place.

Who needs decisions relating to DNACPR:

01
Patients with terminal illnesses: DNACPR decisions may be considered for patients who have been diagnosed with a terminal illness and have a limited life expectancy. In these cases, the focus of treatment may shift towards palliative care rather than aggressive life-saving measures.
02
Patients with progressive or irreversible conditions: DNACPR decisions may also be made for patients who have progressive or irreversible conditions that significantly impact their quality of life. These decisions are often based on the individual's expected medical trajectory and the likelihood of a successful resuscitation.
03
Patients with a clear expressed preference: Some patients may have explicit wishes documented in advance directives, living wills, or conversations with their healthcare providers, expressing their desire to not be resuscitated if their heart or breathing stops. In such cases, healthcare professionals should respect and honor these wishes.
In all cases, the decision to implement a DNACPR should be carefully considered, involving both the patient and their medical team, and documented appropriately to ensure clear and consistent communication among all involved parties.
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Decisions relating to DNACPR stands for Do Not Attempt Cardiopulmonary Resuscitation, it refers to the decisions made by healthcare professionals regarding providing or withholding CPR in certain medical situations.
Healthcare professionals are required to file decisions relating to DNACPR.
Decisions relating to DNACPR should be filled out by documenting the decision in the patient's medical records, ensuring it is communicated with the patient or their representative, and following any necessary legal protocols.
The purpose of decisions relating to DNACPR is to ensure that healthcare providers are aware of a patient's wishes regarding CPR in case of cardiac arrest.
Information such as the patient's decision regarding CPR, the reasons for the decision, and any discussions or consultations held with the patient or their family should be reported on decisions relating to DNACPR.
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