Final options

SIR – Debate around the various levels of end-of-life care (Letters, January 16) arises from a lack of understanding – or, more correctly, from clinicians failing to explain to relatives what the various terms mean.

“Palliative care” provides for relief of symptoms. Nourishment is given, either orally or intravenously. “Do Not Attempt Resuscitation” (DNAR) is an instruction to clinicians, and may be combined with palliative or other care regimes. “No medical intervention” means no relief of pain, stress or symptoms, and no nourishment, although this last can be interpreted compassionately. DNAR is an aspect of this regime. These regimes essentially serve to prolong life, not restore life, and potentially accelerate death. Michael Bacon

Bordon, Hampshire