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Headline

Nurses must ‘reflect’ new end of life care standards

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By the way: ANONYMOUS8 JULY, 2016 10:52 AM 8 JULY, 2016 10:12 AM It is doubtful you have in depth knowledge of CPR and its consequences which can be highly traumatic for a patient and their loved ones. It is not always successful, appropriate or in a patient's best interests and especially if there are clear informed instructions from the patient that this is not what they want. No - wrong ! In England, and it seems post-Montgomery, our law is unequivocally Informed Consent. If there is a clearly-expressed DECISION from the patient that CPR has been refused, then attempting CPR is unequivocally an assault on the patient. And I wish that people would stop 'muddling' 'best interests' and Informed Consent - mentally-capable patients 'just make their decision and express it' (they are NOT required to 'act in their own best-interests') and during mental incapacity, if best-interests decision-making becomes necessary (it isn't invariably necessary) then there is no legal concept of 'consent' because it has been replaced by a legal duty to satisfy section 4(9) of the MCA. I've explained this to BMJ readers at: http://www.bmj.com/content/352/bmj.i222/rr-0 It is staggering, as a 'lay outsider', to have discovered how many clinicians seem to struggle to understand sections 1-6 of the MCA! Even setting aside the ones who understand the MCA, but are resistant to applying the Act - see also: http://www.bmj.com/content/351/bmj.h6575/rr-0 I'm very happy to argue the toss, about whether I've made any legal errors in either of those 2 pieces, with whomever it is who keeps telling me on this website 'that you've no idea what you are writing about'. Provided the person can provide a half-way competent rationale for his/her position.

Posted date

8 July, 2016

Posted time

2:30 pm

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