Guidance on Advance Care Planning & Do Not Attempt Resuscitation(DNAR)

Guidance on Advance Care Planning and Do Not Attempt Resuscitation (DNAR)

This guidance is for health and social care professionals (HSCP’s) and is provided in the context of the COVID-19 pandemic. It is applicable to all care environments where services are provided for and on behalf of the HSE including acute hospitals, the ambulance service, community hospitals, residential care settings, general practice and home care.

The guidance includes information on:

  • advance care planning and cardiopulmonary resuscitation (CPR)
  • advance healthcare directives
  • decision-making including making Do Not Attempt Resuscitation (DNAR) decisions.
  • performance of CPR during the COVID-19 outbreak

 Guidance document

Background note on Guidance document

This document should be read in conjunction with other relevant guidance, including the Health Service Executive (HSE) National Consent Policy 2019, the Department of Health (DoH) Ethical Framework for Decision-Making in a Pandemic, the DoH Ethical Considerations relating to Critical Care in the context of COVID-19 and the DoH Ethical Considerations for Personal Protective Equipment (PPE) Use by Health Care Workers in a Pandemic.

Resources for Guidance on Advance Care Planning and Cardiopulmonary Resuscitation during Covid

Guidance on End of Life Care in social care-led disability residential centres during COVID-19

Appendices - Guidance on End of Life Care in social care-led disability residential centres during COVID-19

For further information, please contact Orlaith Branagan adm@hse.ie