Question

A 79-year-old man with advanced heart failure is thought to be in the last days of life. He becomes increasingly drowsy and stops drinking. His family are distressed and ask you to start intravenous fluids to prolong his life. You judge that fluids will not improve his comfort and may worsen oedema. What is the most appropriate approach?

Accepted Answer

Explain the goals of care and consider not starting IV fluids, focusing on comfort and individualised end-of-life care

Answer

Start IV fluids to satisfy the family

Answer

Refuse to discuss the matter and make a unilateral decision

Answer

Promise the family you will prolong life at all costs

Answer

Discharge him home to avoid the discussion

Practice question