Do not resuscitate tattoo

Do Not Resuscitate Tattoo: Validity and Considerations in the UK

In recent years, the concept of expressing one’s medical preferences through tattoos has gained attention, with some individuals opting for a “Do Not Resuscitate” (DNR) tattoo. This form of permanent ink is intended to communicate a person’s wish not to undergo cardiopulmonary resuscitation (CPR) in case of a medical emergency. However, before considering such a tattoo, it’s essential to understand its validity and implications in the UK.

Understanding the Do Not Resuscitate (DNR) Tattoo

A DNR tattoo typically features the letters “DNR” or similar phrases, aiming to convey the individual’s wish not to receive resuscitation efforts if their heart stops or they stop breathing. The idea behind the tattoo is to make one’s wishes clear to medical professionals in emergencies where the person is unable to communicate.

Is a Do Not Resuscitate Tattoo Valid in the UK?

In the UK, a DNR tattoo does not hold any legal weight or medical authority. The National Health Service (NHS) and other healthcare providers do not recognise tattoos as formal or legally binding documents regarding medical treatment. Instead, the established and legally accepted methods for expressing and documenting a refusal of resuscitation include:

  1. Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Form: This is a formal document completed by a healthcare professional, indicating that CPR should not be performed. The form is recorded in the individual’s medical records and is recognised by healthcare providers.
  2. Advance Decision to Refuse Treatment (ADRT): This is a legal document where individuals can specify their wishes regarding medical treatments, including resuscitation. It is legally binding if it meets specific criteria outlined by the Mental Capacity Act 2005.
  3. Wearable ADRT: Wearing a necklace that indicates a DNR preference can help inform emergency responders of your wishes, we recommend it should be accompanied by formal documentation in your medical records.

Why a Tattoo Might Not Be Sufficient

  1. Lack of Legal Recognition: Tattoos are not legally recognised as formal documents. Healthcare professionals rely on official paperwork like DNACPR forms and ADRTs to make informed decisions about patient care.
  2. Potential for Misinterpretation: A tattoo might not be easily visible in an emergency situation or might be misinterpreted by medical personnel who are unfamiliar with its intended meaning.
  3. Emergency Response Protocols: During emergencies, medical teams follow established protocols and may not immediately access or verify tattoos. They prioritise life-saving interventions based on their training and the information available to them.

Conclusion

While a “Do Not Resuscitate” tattoo may reflect an individual’s personal wishes, it does not replace formal, legally recognised documents in the UK. For those considering a DNR tattoo, it is crucial to also complete a DNACPR form or ADRT and ensure that your medical records accurately reflect your treatment preferences. This approach will ensure that your wishes are respected and that medical professionals have clear guidance in an emergency.

For more information on how to document your medical preferences and ensure your wishes are known, visit our comprehensive guide on DNR orders and advance decisions.