Reposted comment from Facebook
Just following up from last conversation. Whether open discussion or round table discussion is needed among medical professionals(not only Nepalese/doctors) to ADD resus status on admission history taking : pt demographics (name/DOB/address); presenting complaint; Past Medical hx, medication hx, allergy hx FOLLOWED BY Resus Status: EITHER 1.for Resus- in which case a patient's wish also need to be included- the patient may not want to be resuscitated in an unforeseen event of cardiac arrest- in which case it will be DNACPR; OR 2. NOT FOR RESUS (this SHOULD BE a medical decision based on premorbid and irreversible, but patient and family need to be informed in the decision making process)
DNACPR should not limit other treatment plans.I personally don't like ther term DNACPR. It only means- do not jump into CPR in event of cardiac arrest, but it does not tell medical personnel or other team members/HCP what to do in other worsening clinical situation. It may be more reasonable to use Treatment escalation plan (including ceiling of treatment and DNACPR)-
https://www.respectprocess.org.uk/_pdfs/ReSPECT-Specimen-Form.pdf