Translate this page into:
Authors' response
*For correspondence: rolimath@gmail.com
This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
This article was originally published by Wolters Kluwer - Medknow and was migrated to Scientific Scholar after the change of Publisher.
We thank the authors of the letter for their appreciation of the published ICMR Consensus Guidelines on 'Do Not Attempt Resuscitation (DNAR)' and for highlighting certain pertinent points.
We would like to reiterate the importance of recognizing the local and contextual factors which govern the consenting process for DNAR, which have been highlighted in the guidelines. To facilitate the process, good communication between the treating physician and the patients or their surrogates is of paramount importance. There is a need for increasing awareness and sensitizing both the public and healthcare providers through various means including regular training programmes for the medical personnel involved in the care of such patients. The algorithm provided for considering DNAR starts with the treating physician assessing the possibility of success of cardiopulmonary resuscitation (CPR) for a given patient in the event it is required. Periodic evaluation of the patient's condition and need for CPR should be done. The discussion with the patient/family/surrogate regarding CPR and the decision about it should be properly recorded in the patient case records for implementation if and when the need arises. The final decision lies with the treating physician which must be taken in the best interests of the patient.
