P_CS_07 Unified Do Not Attempt Cardiopulmonary Resuscitation (DNACPR)

Allow Natural Death Policy (incorporating East Midlands Unified Principles for Adult Do Not Attempt Cardiopulmonary Resuscitation)

The patient's right to die in peace and with dignity must be respected. It may be against the clearly stated wished of the patient to prolong what the patient sees as a poor quality of life by attempting Cardio pulmonary resuscitation (CPR).

Although CPR can be attempted on any person prior to death, there will inevitably be cases where resuscitation following cardiopulmonary arrest cannot be justified on medical or quality of life grounds, as being in the patient's best interests. It may then be appropriate to consider making an Allow natural death / Do Not Attempt CPR (DNACPR) decision to enable the person to die with dignity.

This policy details the standards, and considerations across Lincolnshire Community Health Services NHS Trust, relating to cardiopulmonary resuscitation decisions for patients.

This policy outlines the legal and ethical standards for planning patient care and decision making in relation to cardiopulmonary resuscitation. It is the intention of Lincolnshire Community Health Services that this policy ensures that all healthcare professionals are aware of the legal and ethical issues regarding cardiopulmonary resuscitation and are enabled to adopt practices which aim to ensure the understanding and support of the patient and thus minimise the risk of legal challenge. This policy should be applied to patients over the age of 18 years (with specific guidance for children and young people referenced in Appendix 4) on the basis of clinical need alone.

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