A DNACPR recommendation is made in advance and records that attempted CPR would not be likely to be appropriate for a person in the event of cardiac arrest. Both patients and health professionals find conversations about DNACPR recommendations especially difficult because they tend to focus only on withholding interventions that people perceive as potentially life-saving.
In recognition of this we now recommend that, when there is some chance that CPR may bring someone back from cardiac arrest to a length and quality of life that they would want, they should be offered:
- the chance to be given clear and accurate information about their condition and the likely risks and benefits from CPR if they should suffer cardiac arrest,
- the chance to express their beliefs and what is important to them and to make a shared recommendation with their health professionals on whether or not they should receive attempted CPR if they should suffer cardiac arrest.
The resulting ‘CPR recommendation’ would then be recorded either as a recommendation that attempted CPR would still be appropriate if they should suffer cardiac arrest or as a DNACPR recommendation.
The form that records the recommendation can be used to record an agreed recommendation that CPR would be appropriate, or an agreed DNACPR recommendation.