'Make me comfortable but don't resuscitate me'
An alternative to Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) orders has been launched by the Resuscitation Council.
An alternative to Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) orders has been launched by the Resuscitation Council. The new process and form is intended to be more patient centred and focus on a range of treatments to be considered rather than just on a decision to withhold a particular intervention. This initiative has been in response to ethical concerns about DNACPR forms and recent legal cases concerning this issue.
Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) forms have been under scrutiny in recent years. Often they are not used when they should be and patients are subjected to a resuscitation attempt that is unlikely to be successful and may result in survival with severe brain damage. However in some instances the presence of a DNACPR form can be interpreted incorrectly as a statement that the patient is not to receive other treatments. In response to these ethical concerns a working group of patients, doctors, and other medical professionals have drawn up a new approach - with the acronym ReSPeCt (Recommended Summary Plan for Emergency Care and Treatment) and a new form. The new approach is intended to focus on what treatments should or should not be considered for an individual person in an emergency situation and is the result of a conversation between the patient (or their family) and their doctor. It is currently being implemented and evaluated in six NHS trusts in England.-