Question

A 79 year old woman with advanced heart failure is recognised as being in the last days of life. She is drowsy, with minimal oral intake and expresses a wish not to be moved to hospital. According to NICE guidance on care of dying adults, which principle should guide her ongoing management?

Accepted Answer

Involve the patient and those important to her in shared decision making and focus on comfort

Answer

Focus solely on prolonging life with aggressive treatments

Answer

Stop all symptom control medicines to avoid side effects

Answer

Automatically commence continuous deep sedation without discussion

Answer

Transfer to intensive care for closer monitoring

Practice question

A 79 year old woman with advanced heart failure is recognised as being in the last days of life. She is drowsy, with minimal oral intake and expresses a wish not to be moved to hospital. According to NICE guidance on care of dying adults, which principle should guide her ongoing management?