Every day there are rumours on the internet about #DNACPR / #DNAR / #DNR here is some more accurate info:
- DNACPR is a CLINICAL decision, it is not the decision of the patient or a family member, it is the decision of a doctor (or multiple if someone wants a second opinion)...

...
- Think of it this way, legally in the UK you have the right to decline treatment but you have no right to request or demand it and CPR is considered a form of treatment
- CPR is not like the movies or TV, it is traumatic for the patient, family and staff carrying it out...

... it very rarely works, and even if the team get a ROSC (return of spontaneous circulation) the chance that they will be neurologically intact at the end of 30 days is tiny - and that is in a fit and healthy young person, let alone if you have any co-morbidities...

... Co-morbidities can include other conditions, especially if they involve your heart or lungs, or an unhealthy lifestyle (such as not exercising, a bad diet, smoking, drinking, use of recreational drugs, etc)

Legally in the UK, the next-of-kin needs to be informed of a #DNACPR decision and this is normally done in a conversation with a doctor where they explain the reasons why and that their loved one CAN STILL GET ANY OTHER TREATMENT, JUST NOT CPR...

If they would like a 2nd opinion, they are within their rights to request one and this will come from the consultant in charge (the most senior doctor on the ward) but if they agree the DNACPR will be put in place, however if the situation changes...

... (e.g. whatever the reason the DNACPR was put in place or something else relevant) the situation will be reviewed and the DNACPR May be withdrawn (so the patient is eligible for CPR), but once again this is a decision made by a doctor, and only a doctor, in the UK