IRPMSRASJT1-044

You are an FY2 Doctor on a respiratory ward. A 75 year old frail man with severe COPD is admitted with a chest infection and delirium. A DNAR form is signed by the consultant after discussion with the medical team who agree in the event CPR is needed it is unlikely to be successful.

The patient’s wife who is next of kin agrees with this decision. However their son is distraught saying this is not what his father would have wanted and that he is usually very independent and well despite his COPD. He asks for the decision to be overturned. He explains his mother has Dementia and does not appreciate what a DNAR form is. Do you:

Rank the following actions in order from the most appropriate (1) to the least appropriate (5) in this situation.

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