What does DNACPR mean in UNCLASSIFIED
Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) is an instruction given by a healthcare professional in circumstances where they believe the potential risks of attempting cardiopulmonary resuscitation (CPR) to outweigh any benefits. If a patient lacks capacity or an appropriate understanding of the risks and benefits, DNACPR decisions are made throughcareful consultation with family members.
DNACPR meaning in Unclassified in Miscellaneous
DNACPR mostly used in an acronym Unclassified in Category Miscellaneous that means Do Not Attempt Cardio Pulmonary Resuscitation
Shorthand: DNACPR,
Full Form: Do Not Attempt Cardio Pulmonary Resuscitation
For more information of "Do Not Attempt Cardio Pulmonary Resuscitation", see the section below.
Definition and Overview
Cardiopulmonary resuscitation (CPR) is a combination of chest compressions and rescue breaths that is used to attempts to restore the circulation of blood and oxygen when someone's heart has stopped beating or breathing has stopped. CPR can potentially help revive someone who is in cardiac arrest, however, it does not always work, even if performed correctly. In some cases, especially those where return of spontaneous circulation (ROSC) is unlikely; performing CPR may cause more harm than good. This is where a Do Not Attempt CardioPulomonary Resucsitiation (DNACPR) instruction comes into play. DNACPR instructions specify that CPR should not be attempted in these cases due to potential risks with no gain in outcome.
Relevant Considerations
A healthcare professional makes the final decision regarding whether or not a DNACPR order should be placed on a patient's chart based on factors such as the severity of the patient's condition, prognosis for recovery, presence of underlying medical conditions, certain laboratory values or risk assessments. Although this decision is ultimately up to the judgement of the healthcare provider invovled, patients' families should be consulted prior to making any decisions about DNACPR orders whenever possible. Additionally, if a patient currently has capacity or may regain it shortly then they must be provided information about their current condition and potential treatments so they can make an informed decision about their care plan going forward.
Essential Questions and Answers on Do Not Attempt Cardio Pulmonary Resuscitation in "MISCELLANEOUS»UNFILED"
What is Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR)?
DNACPR is a decision made between a patient, their family or carer, and the healthcare professional, which states that in the event of cardiac arrest, no attempt should be made to commence CPR (Cardiopulmonary Resuscitation).
Why is DNACPR considered?
DNACPR may be considered if there are no realistic prospects of successful outcomes from attempted resuscitation. For example, if an individual has a terminal condition or advanced illness that would make any attempted resuscitation futile.
Who decides whether DNACPR should be put in place?
The decision must be discussed with the patient, their family or carer before putting the DNACPR in place. It is important that this discussion takes into account both medical and social factors to ensure that it is an informed choice.
What happens when DNACPR is put in place?
When DNACPR has been deemed necessary and appropriate by all parties involved, it will be documented by healthcare professionals in the medical record. This will provide clear instructions for any medical staff who come into contact with the patient.
Can this document be revoked?
Yes - In some cases a DNACPR can be revoked when there have been medical developments which could yield a positive outcome if CPR was performed. Any change must also involve the same people who discussed and agreed on the original plan for DNACPR..
Do Patients need to give consent for DNACPR placement?
Yes — All decisions regarding treatment must take into account both medical advice and the wishes of patients or those providing care for them. Where possible consent must always be obtained from either the patient themselves or from someone with legal authority, such as a relative or appointed guardian.
Is there anything else to consider besides consent before initiating DNACPR?
Absolutely - There are various other things that must also be taken into consideration including any advance directives taken at an earlier stage that express wishes of not wanting to receive resuscitation; current prognosis; potential spiritual/cultural considerations; availability of resources; alternative treatments and personal beliefs.
How long can someone have this document on them?
A DNACPR order typically applies only until discharged from hospital unless otherwise stated within the document itself. If arrangements need to continue beyond this period then discussions must take place again prior to discharge.
Are there any circumstances where inappropriate use of DNACP may occur?
Yes - It is important that all decisions related to treatment are informed by evidence-based clinical practice guidelines (CPGs). Inappropriate use of CPGs may reduce patient safety and result in unsatisfactory outcomes such as investigations not being undertaken; incorrect treatments being given; opportunities offered not being taken or risks being overlooked or underestimated.
Final Words:
Do Not Attempt Cardio Pulmonary Resucitiation orders are important considerations for many critically ill patients and should only be put into place by qualified healthcare professionals after careful consideration and discussion with both family members and patients themselves when possible. When applied appropriately, this procedure helps ensure safe treatment decisions are made for all involved parties.