Question

A 75-year-old woman in a residential aged care facility has advanced COPD, heart failure and dementia. She presents with another episode of mild chest infection. Her advance care plan indicates she does not wish to be transferred to hospital or receive CPR. According to best practice in aged care, what is the most appropriate approach?

Accepted Answer

Respect the documented preferences, treat symptoms and infection on-site where feasible, and review goals of care with family

Answer

Ignore the advance care plan and transfer to ED for full active management

Answer

Automatically withhold all treatment including antibiotics and analgesia

Answer

Transfer her to ICU for possible intubation

Answer

Seek a court order to override the advance care plan

Practice question