Question

A 72-year-old woman in a care home with advanced Alzheimer’s disease develops pneumonia. She lacks capacity to understand the nature of her illness. Her son insists that she should be resuscitated and admitted to ICU if she deteriorates, but the multidisciplinary team believes this would not be in her best interests. According to the Mental Capacity Act and GMC guidance, what is the most appropriate approach?

Accepted Answer

Make a best interests decision not to attempt CPR, documenting reasoning and involving the son in discussions but recognising he cannot demand treatment

Answer

Follow the son’s wishes because he is the next of kin

Answer

Automatically attempt CPR in all cases regardless of prognosis

Answer

Ask the son to sign a DNACPR form on her behalf

Answer

Transfer decision-making entirely to the care home manager

Practice question