Alan Cargill was being treated for cancer of the inner chest wall and a blood clot at the University Hospital of North Durham. During his stay a doctor approached him and told him that he would not be revived if he took a turn for the worse. "This doctor came to see me and informed me that I wouldn't be brought around again if anything happened. I would just be left." Mr Cargill said the doctor gave him a form prominently marked "Do Not Resuscitate" and walked away. (Daily Mail) "He terrified me, to be truthful."
Katherine Murphy, Chief Executive of The Patients Association, said: "The use of DNAR orders is understandably a sensitive and deeply distressing issue. Sadly, there have been far too many cases where healthcare professionals have failed to facilitate proper conversations with relatives and patients about how, when and why a DNAR order may be used."
In this case, there may not have been adequate discussion about about why a DNAR order would not be issued. But, at least in contrast to other recent cases, the patient was informed of the order. Unilateral DNAR orders are not automatically or categorically inappropriate. But they are inappropriate when issued without adequate transparency and compassion.
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