HEALTH

ICMR Consensus Guidelines on Do Not Attempt Resuscitation (DNAR)

By TEAM CIRCULAR EXPRESS • 01 Jan 2020
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The Indian Council of Medical Research (ICMR) has issued consensus guidelines regarding 'Do Not Attempt Resuscitation' (DNAR) orders for patients with terminal or incurable illnesses. The document provides an ethical framework and decision-making algorithm for physicians to avoid futile CPR while maintaining patient dignity and compassionate care. It emphasizes the importance of informed communication with patients and their surrogates, ensuring that DNAR decisions are documented and periodically reviewed. The guidelines clarify that DNAR is distinct from withholding other life-supporting treatments and curative care. These standards are intended to guide medical professionals in navigating the ethical dilemmas associated with end-of-life care.
purpose of issuance
To provide consensus guidelines and an ethical framework for physicians regarding 'Do Not Attempt Resuscitation' (DNAR) decisions for patients with terminal or incurable illnesses.
Most Important Details
The guidelines establish a decision-making algorithm, emphasize the necessity of informed consent from patients or surrogates, mandate documentation of DNAR orders, and clarify that DNAR does not preclude other supportive or curative medical treatments.

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