Question

A 79-year-old man with advanced metastatic cancer has expressed a clear wish not to receive cardiopulmonary resuscitation in the event of cardiac arrest. He retains capacity and understands the consequences. What is the most appropriate action for the responsible clinician?

Accepted Answer

Agree a Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decision with him and record this clearly in the notes and relevant forms

Answer

Ignore his request, as doctors must always attempt CPR

Answer

Ask the family to overrule his decision

Answer

Record that CPR should be attempted unless the family later agrees otherwise

Answer

Seek a court order to confirm DNACPR

Practice question

A 79-year-old man with advanced metastatic cancer has expressed a clear wish not to receive cardiopulmonary resuscitation in the event of cardiac arrest. He retains capacity and understands the consequences. What is the most appropriate action for the responsible clinician?