Do not attempt resuscitation orders: the role of clinical governance

Abstract

Purpose – The purpose of this paper is to provide a viewpoint on decision making in do not attempt resuscitation (DNAR) orders from the perspective of a competent patient who requests cardiopulmonary resuscitation (CPR) when their clinical prognosis is poor. This issue will be examined from the position of patient autonomy and self determination.Design/methodology/approach – The literature is reviewed including academic commentary, case law and statute.Findings – The paper finds that factors such as futility and quality of life that engage in DNAR considerations should be gauged from the patient's perspective. There is a definite argument for supporting a competent patient's positive autonomous choice for CPR. This should feature clearly within the framework of clinical governance.Research limitations/implications – Presents a viewpoint designed to stimulate debate based on a contemporary perspective of patient autonomy.Practical implications – End‐of‐life care is assuming a greater importance as evidence...