The Indian Council of Medical Research has brought out consensus guidelines that aim to guide treating physicians on ‘Do Not Attempt Resuscitation’ (DNAR). DNAR would apply to a patient with a progressive debilitating/incurable/terminal illness where cardiopulmonary resuscitation (CPR) would be inappropriate, non beneficial and likely to prolong the suffering of the patient in the best judgement of the treating physician(s).

DNAR is about accepting death naturally and respecting the dignity and autonomy of the patient. The treating physician should discuss the prognosis and the benefits and harms of CPR with the patient/surrogate so that they can make an informed decision about DNAR.

While patients and their families are kept informed and cognizance is taken of their wishes regarding DNAR, the final decision rests with the treating physician to decide whether CPR is to be initiated or not since it is a form of treatment. DNAR will be dealt with on a case by case basis.

The document emphasises that supportive and compassionate care will continue in the event of a DNAR