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The document sets the purpose and scope for person-centred planning as residents approach the end of life, including end of life wishes, DNACPR/Allow Natural Death decisions, and clear staff responsibilities. It outlines management expectations, what interventions must not be performed, and the process for creating, reviewing, and obtaining GP/consultant sign-off on an End of Life Plan of Care.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/allow-for-natural-death-guidelines-for-decisions-regarding-end-of-life-care-kerry49/279617/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/allow-for-natural-death-guidelines-for-decisions-regarding-end-of-life-care-kerry49/279617.png","ImageObject",442,249,{"name":88,"@type":89},"Elsa","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of the Allow for Natural Death guidelines?","Question",{"text":109,"@type":110},"To guide staff in offering optimum end of life care to people approaching the end of life, supporting comfort and dignity while respecting the natural dying process.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What does an Allow Natural Death decision require staff to do?",{"text":114,"@type":110},"It provides direction for comfort-focused care such as administering oxygen as required, positioning for comfort, controlling bleeding, providing pain medication, emotional support, and contacting appropriate healthcare and palliative care providers.",{"name":116,"@type":107,"acceptedAnswer":117},"How is an End of Life Plan created and when does it become valid?",{"text":118,"@type":110},"A meeting is held to develop a person-centred end of life care plan, involving relevant clinical and support stakeholders as appropriate. The plan is not valid until the GP/consultant signs off; if they cannot attend, discussions and approved recommendations are forwarded for approval and signature.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},279617,1790477284,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":79},137455077381,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Saint John of God Kerry Services  \nHospitality-Compassion-Respect  \n49  \nSaint John of God Kerry Services  \nGuidelines for Decisions regarding end of life care (Allow for Natural Death).  \nTitle: Allow for Natural  \nDeath  \nDocument Reference: Kerry49  \nRevision Date: Sep 2023  \nRevision Number: 00  \nPages, incl. cover & signature: 10  \nApproved By: PPP Group  \nPolicy and Procedure  \nSt John of God Kerry Services is committed to ensuring that end of life care is offered under the values of the St John of God Ministries. End of Life Care is concerned with helping people to live well until the end of life and includes care in the final year of life for people with any end stage illness in any setting. (Gold Standards Framework)  \nPurpose  \nThe purpose of this document is to guide staff in offering the optimum care to people who are approaching the end of their life.  \nScope  \nAll staff employed in St John of God Kerry Services.  \nEnd of Life Wishes  \nSt John of God Kerry Services also has a My Final Wishes document which gathers information in relation to an individual’s preferences around their end of life wishes, this should not be confused with the End of Life Care Plan described below. However the Glancing Back Planning Forward (SJOG30 End of Life Procedure Appendix 2) , if completed, should inform part of the development of an End of Life Plan of Care.  \nManagement Plans  \nCardiopulmonary resuscitation can be attempted on any individual in whom cardiac or respiratory function ceases. Whilst a primary aim of care is to improve and maintain a state of health, it is recognised that in certain circumstances, in order to allow for death with dignity, there should be no interference in the natural process of death. If cardiac or respiratory arrest is an expected part of the dying process and CPR will not be successful, making and recording an advance decision not to attempt CPR will help to ensure that the person can die in a dignified and peaceful manner.  \nIt may also help to ensure that the persons last hours or days are spent in their preferred place of care by, for example, avoiding emergency admission from a community setting to hospital.  \nThese management plans are called Do Not Attempt CPR (DNACPR) orders, or Do Not Attempt Resuscitation or Allow Natural Death decisions. (GMC 2010)  \nAllow Natural Death Decisions also provide clarity and direction for staff; specifying that staff:  \nAdminister oxygen as required , position for comfort, splint or immobilise, control bleeding, provide pain medication, provide emotional support, and contact other appropriate health care providers and palliative care team.  \nMUST NOT administer chest compressions, insert an artificial airway, administer resuscitative drugs, defibrillate or cardiovert, provide respiratory assistance (other than administering oxygen), initiate resuscitative IV, or initiate cardiac monitoring.  \nEnd of Life Plan  \nWhen a person is approaching the end of their life, a comprehensive person centred end of life care plan should be devised; and all other relevant care plans should be reviewed to reflect the resident’s changing needs.  \nCircumstances where an individual may require an end of life care plan include, a life limiting illness, a terminal diagnosis or a dementia diagnosis, but this list is not exhaustive.  \nA meeting must be held to develop a plan for each individual and may include family members/independent advocates as appropriate, the GP/consultant, MDT members involved in the person’s care, a representative of the palliative care team and nursing and care staff.  \nThe individual should also be involved at this stage of planning; but this will vary on an individual basis.  \nIt may not always be possible for GP/Consultant to attend this meeting, in this event; the plan does not become valid until the GP/Consultant signs off on it. Family members present at the meeting should be made aware of this.  \nIn the absence of the General Practitioner/Consultant","cbCaivtna0a9xLnf","https://ap.wps.com/l/cbCaivtna0a9xLnf","pdf",303865,10,"English","# Purpose\n# Scope\n# End of Life Wishes\n# Management Plans (DNACPR / Allow Natural Death)\n## What staff must administer\n## What staff must not administer\n# End of Life Plan\n## Planning meeting and sign-off\n# Discussion process relating to Allow for Natural Death (AND)","[{\"question\":\"What is the purpose of the Allow for Natural Death guidelines?\",\"answer\":\"To guide staff in offering optimum end of life care to people approaching the end of life, supporting comfort and dignity while respecting the natural dying process.\"},{\"question\":\"What does an Allow Natural Death decision require staff to do?\",\"answer\":\"It provides direction for comfort-focused care such as administering oxygen as required, positioning for comfort, controlling bleeding, providing pain medication, emotional support, and contacting appropriate healthcare and palliative care providers.\"},{\"question\":\"How is an End of Life Plan created and when does it become valid?\",\"answer\":\"A meeting is held to develop a person-centred end of life care plan, involving relevant clinical and support stakeholders as appropriate. The plan is not valid until the GP/consultant signs off; if they cannot attend, discussions and approved recommendations are forwarded for approval and signature.\"}]","Allow for Natural Death - Guidelines for Decisions regarding end of life care (Kerry49) | PDF",1789524146]