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Resuscitation
and DNACPR (Practicalities (Discuss as part of overall care…
Resuscitation
and DNACPR
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Ethics
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Non maleficence
Harms misunderstood and underestimated
Anoxic brain injury, rib fractures
Undignified and brutal
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Law
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CPR futile
Do not have to offer/attempt/continue CPR
Must offer patient conversation about decision and
opportunity for a second opinion
Role of family
Best interests alongside doctor when patient lacks capacity and no advance statement
Must offer family conversation if CPR deemed futile
Not decision makers
Practicalities
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Ensure patient well informed of what CPR is,
risks and benefits, suitability or not
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Must respect refusal of CPR in competent patient, or detailed in an Advanced Directive
Making a DNA-CPR decision should be communicated with and involve the patient, but ultimately doesn't need their consent
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If no recorded decision, assume CPR and start
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