despite a lot of efforts and investigations worldwide, dnr is still a controversial issue in many countries. in iran although significant achievements are reached in different fields; end of life care is hardly considered as a scientific necessity. development and implementation of clear policies for dnr orders is required to prevent futile prolongation of death, psychological stress to the pat...

Aim In Japan, the do not attempt resuscitation (DNAR) order is practised routinely even though no related laws or guidelines exist. This study aimed to clarify the current status of DNAR, reveal existing DNAR-related issues, and improve the application of DNAR. Methods A questionnaire survey of medical institutions in Kanagawa Prefecture (total population, 9,120,000) about the current status ...

OBJECTIVE To evaluate the local use of written "Do not resuscitate" orders to designate inpatients unsuitable for cardiopulmonary resuscitation in the event of cardiac arrest. DESIGN Point prevalence questionnaire survey of inpatients' medical and nursing records. SETTING 10 acute medical and six acute surgical wards of a district general hospital. PARTICIPANTS Questionnaires were filled ...

UNLABELLED BACKGROUND In 1993, the American Society of Anesthesiologists (ASA) published guidelines stating that automatic perioperative suspension of Do Not Resuscitate (DNR) orders conflicts with patients' rights to self-determination. Almost 20 years later, we aimed to explore both patient and doctor views concerning perioperative DNR status. METHODS Five-hundred consecutive patients vi...

OBJECTIVE To investigate whether do not attempt resuscitation (DNAR) orders can be implemented in a standard nursing home in Japan, where routine DNAR orders are not yet common in many facilities including hospitals. METHOD Ninety-eight residents in a 100-bed nursing home were evaluated. All of the eligible residents and/or their family members were asked whether they wanted to receive resusc...

Working with members of the Royal London Trust and its medical council, Len Doyal and Daniel Wilsher have composed a set of guidelines governing the making of decisions to withhold resuscitation from patients. The guidelines describe the procedures that should be followed when giving orders for non-resuscitation and the clinical, legal, and moral criteria that should be satisfied before such or...

The BMJ recently carried two informative pieces on the implications of common law rulings for doctors in England and Wales documenting “Do not attempt cardiopulmonary resuscitation” (DNACPR) decisions. 2 The Tracey ruling in the Court of Appeal was followed byWinspear in the High Court. 4 Responses revealed many professional concerns about the implications. Meanwhile, the Resuscitation Council ...