Do not attempt cardiopulmonary resuscitation (DNACPR) decisions are a means to consider in advance the appropriateness of CPR measures if an acute crisis arises. During the COVID-19 pandemic, problems with such decisions, for example the putting in place of DNACPR decisions for all residents of certain care homes, received a lot of attention, prompting a Care Quality Commission (CQC) report with recommendations for improvement. Building on the CQC report, our article addresses a cluster of legal uncertainties surrounding DNACPR decisions, in particular about the grounds for such decisions and the correct procedures for the legally required consultation, including with whom to consult. This article will also analyse commonly used DNACPR forms, as well as the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) form, which aims to incorporate DNACPR decisions as part of more holistic end-of-life care planning. The analysis shows that all forms exhibit shortcomings in reflecting the legal requirements for DNACPR decisions. We recommend a number of changes to the forms aimed at rendering DNACPR practice compliant with the law and more protective of the person's human rights.

中文翻译：

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DNACPR 决定：协调法律、指导和实践。

不要尝试心肺复苏 (DNACPR) 决定是在出现急性危机时提前考虑 CPR 措施的适当性的一种手段。在 COVID-19 大流行期间，此类决定的问题，例如为某些疗养院的所有居民实施 DNACPR 决定，受到了很多关注，促使护理质量委员会 (CQC) 报告了改进建议。在 CQC 报告的基础上，我们的文章解决了围绕 DNACPR 决定的一系列法律不确定性，特别是关于此类决定的理由以及法律要求的咨询的正确程序，包括与谁咨询。本文还将分析常用的 DNACPR 表格，以及推荐的紧急护理和治疗总结计划 (ReSPECT) 表格，旨在将 DNACPR 决策纳入更全面的临终关怀计划的一部分。分析表明，所有形式在反映 DNACPR 决定的法律要求方面都存在缺陷。我们建议对表格进行一些修改，以使 DNACPR 实践符合法律并更好地保护个人的人权。