A 68-year-old man with metastatic prostate cancer is admitted with deteriorating condition. He has a valid DNACPR form and expresses that he does not ...

Question

A 68-year-old man with metastatic prostate cancer is admitted with deteriorating condition. He has a valid DNACPR form and expresses that he does not want ICU admission or intubation but is happy for ward-based treatment. According to GMC and NICE guidance, what is the most appropriate documentation of his treatment preferences?

Accepted Answer

Create and document an agreed ceiling-of-treatment plan specifying ward-based care and limitations, alongside DNACPR

Answer

Record only the DNACPR decision

Answer

Remove the DNACPR because it implies all treatment is futile

Answer

Ignore his wishes and plan for full escalation

Answer

Rely on verbal discussions without written documentation

uk-plab-1 MCQ (SBA): Ceiling of treatment and DNACPR