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palliative geriatrics general-medicine

DNACPR Decision Framework

Guides clinicians through factors informing a DNACPR (Do Not Attempt Cardiopulmonary Resuscitation) decision using GMC/BMA/RCN framework.

Score interpretation

CPR decision not clearly indicated — case-by-case

→ Document discussion; consider time-limited trial; involve senior clinician; respect patient choice; review if condition changes

DNACPR likely appropriate

→ Inform patient/family in sensitive discussion; document on standard DNACPR form; explain does not affect other treatments; review regularly

DNACPR strongly indicated

→ Complete DNACPR documentation; communicate to all care settings (GP, out-of-hours, ambulance); ensure Respect/ReSPECT form completed; file in notes and accessible location

Interpretation bands for the DNACPR Framework. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.