Question

A 79-year-old man with metastatic lung cancer, severe frailty and advanced heart failure is admitted with pneumonia. The consultant believes that cardiopulmonary resuscitation would not be successful or in his best interests. According to UK guidance, what is the most appropriate approach to DNACPR (Do Not Attempt Cardiopulmonary Resuscitation) decisions?

Accepted Answer

Discuss the overall goals of care with the patient if possible and explain the DNACPR decision sensitively

Answer

Complete a DNACPR form without discussing it with the patient and family

Answer

Ask the family to sign a DNACPR consent form

Answer

Base the DNACPR decision solely on family wishes

Answer

Always attempt CPR regardless of prognosis

Practice question