Question

A 79-year-old man with advanced heart failure lacks capacity due to advanced dementia. The multidisciplinary team agrees that CPR would not be in his best interests due to advanced irreversible disease and poor prognosis. His family insist that "everything" must be done. According to GMC guidance, what should you do regarding a DNACPR decision?

Accepted Answer

Make a DNACPR decision based on the patient’s best interests, discuss sensitively with the family and record the reasoning clearly

Answer

Agree to provide CPR because the family request it

Answer

Ask the family to sign a consent form refusing CPR

Answer

Avoid making any decision to prevent conflict

Answer

Base the decision solely on resource considerations

Practice question