I would like some thoughts on this: It has come to light that in 2 different health authorities in Scotland that vulnerable people have been given do nor resuscitate forms to sign! One woman in her fifties was at A&E because of a long standing asthma and bronchial problem and after treatment was given by a rather sheepish doctor a piece of paper. It was a DNR consent form with her illness already written in. All she had to do was sign it! The other case that I have seen concerns a different health authority and this time it came from a GP practice. According to her family this old lady can be forgetful and could quite easily have signed this unwittingly! The first minister minister is aware of one of these cases and in her daily briefing stated categorically that this was wrong. Since the second case has appeared it seems that NHS Scotland has clearly given these guidelines to the medical professionals. In which case Ms Sturgeon must be aware!
No one should be signing DNR notices unless they or the family members they have legal guardianship for have a terminal illness or irrecoverable comatose state or brain injury.
Its inevitable in major demands on medical services like this pandemic that people will be triaged and those with best chances of survival will be given the best resources available if there are insufficient resources but thats up to medical staff to decide at the time of presentation. Its not up to patients to make that decision for them.
Ive only seen one report of one surgery apologising for misinterpretation of coronavirus guidelines. I dont know anymore. The trouble from square one has been lack of clarity from government in handling the outbreak and too many jobsworths putting their own slant on things.
Post by givingitsomethought on Apr 6, 2020 8:21:11 GMT
It concerns me hugely. I've had nothing but battles with public sector staff over the years with regard to my son, who's only just turned 18 and has several conditions, including learning disabilities. The over riding approach, in my experience, across every sector, is that they're not worth the bother and it's perfectly acceptable to ignore every bit of legislation and guidance going. It's a constant thorn in my side. When it comes to giving consent for something, there are clear guidelines within the Mental Capacity Act about assessing a person's competence and what to do if they aren't able to understand their situation, and what we've experienced so far is that they declare him capable if it's easier for them, and not capable if it means more work or them not meeting a target. So the DNR thing doesn't surprise me as I've heard of relatives finding a vulnerable person has signed a DNR form without knowing what they're signing. Actively deciding something like that for yourself in advance is very different - I have a friend in her 70s who looked after terminally ill people for years and she's got everything set up so that no-one intervenes when her time comes. She's seen too many people suffer to want to go through the same herself and I can understand that completely. But to encourage a sort of mass consent before a person even gets unwell is disgusting and must be very harmful to the mental health of people who would already be concerned, I would imagine, about being more vulnerable to this anyway.
Seems fucking obscene that the same govt that sits in judgement & outlaws voluntary euthanasia, even prosecuting people who assist when someone chooses this, can then decide to pull a stunt like this just because it suits their cause. Shower of bastards have no compassion for anything but their own profit.😡
A DNR DNAR DNACPR forms have to be discussed with your doctor and witnessed. Theyre only a record of your personal wishes when youre of sound mind to make such decisions and are not legally binding. Unless you're terminally ill very old and fragile health or your chances of meaningful conscious recovery are nil, the medical staff are required to take whatever measures required to assist your recovery. The form is only there to assist in the decision making process if youre not going to recover without invasive intervention and not able to make your own views known at that time.
Any medical staff would be in deep shit if a coroner found from post mortem or inquest into your care that you had been deprived of proper medical care.You can be charged with negligence,found criminally negligent or struck off any professional registration body and prohibited from working in your profession. The employer of said medic surgeon paramedic nurse general staff etc has vicarious liability for your actions and can also be held responsible for or sued for your actions or inaction.
Its not a decision made lightly or comfortably by anyone, i know that from 25 years of being in that position. Unfortunately its a very emotive subject,like organ donation and the new rules on opting out of automatic donation rather than opting into it.
We need to have a proper discussion about it all and into assisted dieing. Kneejerk sensationalist journalism isnt going to assist any rational discussion.
I didnt say there was. A DNR is just a document on record indicating the wishes of the patient or the intentions of medics if the patients death were imminent and intervention would be considered prolonging unnecessary suffering.