End of life

Question 1

DNA CPR

Answer 1

Not a legal document
Record of decision
Provide guidance to clinicians

Question 2

Withdrawal of treatment

Answer 2

Patient choice
Must have capacity
Continuing if unwanted is battery and a criminal offence
Communication needed

Question 3

WHO palliative care

Answer 3

Provide pain relief and for other distressing symptoms
Intends neither to hasten nor postpone death
Involve psychological support and spiritual aspects
Support active life before death
Support for bereavement

Question 4

What to consider when thinking of palliation

Answer 4

Anticipatory care plan
Where they want to be
DNA CPR?
Aware of their prognosis
Any worries
Consider religious beliefs
Put on palliative care register
Send plan to out of hours care
Regular MDT and reviews