Reynolds Joanne, Croft Sue
Wirral Community NHS Trust.
Nurs Stand. 2012;26(51):35-42. doi: 10.7748/ns2012.08.26.51.35.c9242.
This article discusses ethical, legal and professional issues surrounding 'do not attempt cardiopulmonary resuscitation' (DNACPR) decisions in end of life care. The principles outlined throughout this article are applicable in any care setting. It explains what a DNACPR decision is, its relevance to clinical practice, and provides guidance on decision making and its implementation. The article also discusses the ethical considerations when discussing DNACPR decisions with patients and families, as well as the legal issues surrounding advance decisions to refuse treatment. Case studies are used to link theory to practice.
本文讨论了临终关怀中围绕“不要尝试心肺复苏”（DNACPR）决策的伦理、法律和专业问题。本文阐述的原则适用于任何护理环境。它解释了DNACPR决策是什么，其与临床实践的相关性，并就决策制定及其实施提供指导。本文还讨论了与患者及其家属讨论DNACPR决策时的伦理考量，以及围绕预先拒绝治疗决策的法律问题。案例研究用于将理论与实践联系起来。
