Over 75? NHS wants you to sign a Do Not Resuscitate order

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Daily Mail: Doctors are being told to ask all patients over 75 if they will agree to a ‘do not resuscitate’ order. New NHS guidelines urge GPs to draw up end-of-life plans for over-75s, as well as younger patients suffering from cancer, dementia, heart disease or serious lung conditions.
They are also being told to ask whether the patient wants doctors to try to resuscitate them if their health suddenly deteriorates.
The NHS says the guidance will improve patients’ end-of-life care, but medical professionals say it is ‘blatantly wrong’ and will frighten the elderly into thinking they are being ‘written off’.
In some surgeries, nurses are cold-calling patients over 75 or with long-term conditions and asking them over the phone if they have ‘thought about resuscitation’. Other patients have spoken of the shock of going in for a routine check-up and being asked about resuscitation.
The extraordinary new guidance has been brought in despite the outcry over the use of ‘do not resuscitate’ orders under the Liverpool Care Pathway (LCP).  The discredited pathway was scrapped last year after the Mail revealed that doctors were placing ‘DNR’ notices on patients without their knowledge and depriving them of food and fluids.
The guidelines – which also recommend patients should be asked if they want to die at home – have been drawn up by experts advising NHS England, the organisation which runs the health service. One expert said the guidance was ‘the thin end of the wedge of assisted suicide’.
Professor Patrick Pullicino, who spearheaded the campaign against the LCP, said: ‘What is most blatantly wrong is trying to get someone to agree to a ‘do not resuscitate’ order before they are even sick. For somebody who is perfectly well, or has got a mild or not a serious illness, that would be totally out of place.’
Roy Lilley, a health policy analyst and former NHS trust chairman, said: ‘It will give some older people the impression that no-one wants to bother with them. It looks as though they’re being told: ‘You’re old, how do you want to die because you’re in the way’. It’s a very clunky thing to do – it’s completely unnecessary.’
Roger Goss, of Patient Concern, said: ‘There will be some people who will be put out, disconcerted and think they are not going to get the best available care. They might think this is a way of saving money for the NHS. Other patients will be prepared to talk about it and think it sensible.’
A ‘do not resuscitate’ order is meant to stop a patient suffering unnecessarily where their lives are likely to be extended for only a short period of time. Resuscitation can be traumatic and cause broken ribs or damage to organs, including the spleen. Doctors estimate that only 10 to 15 per cent of patients are brought back to life and some suffer permanent brain damage.
But asking patients to make such a decision when they may have many years to live will prompt concerns that the NHS is writing them off. In some parts of England, practice nurses have been instructed to cold-call patients and fill out an advance care plan for them over the phone.
Ruth Nicholls, a palliative care nurse in the South East, told how her brother-in-law, who has a heart condition, was contacted immediately after he had a hospital appointment.
In an interview with Nursing Times, she said: ‘He came back from an outpatient appointment having not had very good news and later that afternoon got a phone call from one of the practice nurses at his GP surgery.
‘She said: ‘Hello, we’re ringing all our patients with chronic conditions to see how you are and whether you have thought about resuscitation. This conversation was absolutely out of nowhere. My brother-in-law was shocked and my sister was distraught.
She also said an elderly patient was asked about resuscitation by a district nurse he had never met during a routine visit. ‘One of the first questions he was asked was whether he wanted to be resuscitated,’ she said. ‘People are being left in great distress.’
The controversial Liverpool Care Pathway was phased out last year following harrowing reports that patients were being left so dehydrated they were left to suck on wet sponges given by relatives because nurses had banned water.

Dr. Ezekiel Emanuel

Dr. Ezekiel Emanuel

No doubt Ezekiel Emanuel is thrilled with this:  He declared his desire to die at age 75 (and is a chief architect of Obamacare).
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0 responses to “Over 75? NHS wants you to sign a Do Not Resuscitate order

  1. What a haunt for demons this system is becoming. My answer would be no, and for the same reason I refuse every request to agree to be an organ donor.

  2. Every day, I see yet another National Health Service (NHS) abuse story on Daily Mail, and yet the Brits do nothing. When did the people of the United Kingdom, after decades of effective socialism, become sheep willingly led to their own slaughter? Too many Americans are little better, seemingly determined to tread the same path as the UK. 🙁

    • Eowyn–as the wife of a family physician, I can vouch that much of this is already being done here. Docs, with their detailed and required electronic medical records, are requested to ask these questions to older citizens.

  3. Unsubscribe me

  4. How liberals save money…

  5. I watched my poor grandmother suffer under the “guidelines” of a DNR when she was dying of lung cancer. Her mouth was so dry that I was horrified!! My mother asked a nurse about it and was told “you don’t want to prolong her dying process do you”? I think it’s inhumane and sadistic the way people are being treated.

    • Not even water? That’s cruelty that’s way beyond my understanding of a DNR. Who gave the Do Not Resuscitate order? Your grandmother when she still had her full faculties, or a family member with power of medical attorney?

      • Sadly my Grandmother, who was in the beginning stages of dementia, was asked if she wanted to sign the DNR and obviously did. Why her competency to sign such a binding document was not questioned is a mystery to us. The nurse made it sound like we were prolonging her agony by wanting her to stay hydrated. Thankfully, my Grandmother didn’t have to linger in that state for very long. It changed my mind on DNR’S and the need to directly specify on these end of life orders exactly what you want and do not want.

        • My Dad had a DNR,but I knew all the Ambulance crew,and I wasn’t sure they’d comply if they thought they could save him. When he passed,I waited about half an hour before calling 911,so there’d be no chance of ’em doing anything. I KNOW they’d have wanted to save him,THEY knew him too,so it would have been with the BEST intentions,but he wasn’t likely to hold his own,let alone improving. Dad knew it was time.
          What if it required a family member’s co-signature to get a DNR? That way at least SOMEONE would be able to affirm that the DNR signer was thinking clearly when they signed. Might also be worth running through some possible scenarios-there are SOME things I’d want to be brought back from,electrocution for instance,but other things-forget it,like severe traumatic injury or severe brain injury. Point is-a DNR is a GOOD thing,in SOME cases,but not ALL cases,there’s a distinction that needs to be made.

          • I agree truck, a distinction needs to be made as to what you would and what you would not want to be revived from. Hope you are doing well. 😊

    • Signed permission for healthcare to be lazy and neglectful w/ single-payer, watch… see, they told us they didn’t care if they lived.

  6. Sarc. alert. DCG, how dare you write ill of Rahm’s brother Ezekiel. Keep that up, and the Mayor of Chicago will challenge the citizenship entitlement you may have thought was a Constitutional right. And you folk of assisted living centers, we are looking for that crisis. The ice buckets for donated organs are ready!

  7. I had MAJOR MAJOR spine surgery April2, interesting that before and after a case worker/social worker and nurse asked me if I wanted to sign organ donor and DNR forms. I old them NO on the organ donor since I was the lucky recipient of a tainted blood transfusion 32 years ago. I was straddling the fence on the DNR since I have no living fiends or family and have multiple serous health issues.
    The medical INDUSTRY does not extend life but only extends misery and suffering….but God wants us to relish and wade in our pain and suffering, offer it all up to the cross and a fin offering. So I wonder what Jesus thinks when someone does not want to be resuscitated possibly into a vegitative state….it’s a tough call

    • The bedside manner needs to be rethought. The last thing a person in the hospital ,facing a major surgery wants to hear is talk of death. Perhaps they could take care of all this paperwork and questioning in the clinic during the preoperative physical?

  8. I have a question. Have they called the Queen and other members of the royal family about resuscitation? If they haven’t they shouldn’t be calling anybody else..

  9. Well they’ve finally done it: They have finally reached Aldous Huxley’s SCIENTIFIC DICTATORSHIP of HIVEMIND (Huxley’s own terms).
    The British Empire is a dystopia of eugenic genocide run by inbred Satanists! There is a small but powerful Anglophilic cabal over here (Michael R. Bloomberg, member of the Committee of 300, comes to mind) that insists that whatever England does, WE must do! BEWARE this clandestine cabal!
    Aldous Huxley and all the rest of them can—GO. TO. HELL!!!!

    • Living in a part of the country where the War of 1812 was fought (the Battle of New Orleans) I am sometimes inclined to feel the way Andrew Jackson felt about the British.

  10. Wait until they start asking for your political affiliation.
    It’s coming.
    Count on it.
    And given electronic voting, they probably already know it, anyway.

  11. I remember when Daniel Hannan, of British Parliment made several speeches over here about please do not incorporate Obamacare into our lives, that we would regret it. Now we find everything he said to be true and in our healthcare. He spoke or horrific things happening in the HC there.
    We have Emanuel, the Chief eugenics believer and pusher. Eventually they can and will convince elderly to give up on life.
    I remember a Denver Physician standing on the Capital steps and reading the bill telling us exactly what this article is about. She said to expect little to no treatment after 72, even mammograms and cancer treatment.
    I have been at death’s door and survived and I can tell you, living is better and not all cases are hopeless. Life is precious and should be treated as such.
    Sarah Palin was correct all along.
    I did read a few years ago that, I believe it was Sweden, was going to give it a second look that doubt was in the air. I pray it happens.

  12. I think this is a great idea, If I would not care if they did not resusitate me now and I am only 52.

  13. The sooner I die the better.

    • That’s sad yet your prerogative I guess. Assisted suicide is a popular option in the UK now, although it’s not my choice. Maybe finding a purpose-family, friends, volunteering-might help change your mind.


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