Question

A 79-year-old man with advanced heart failure is bedbound and nearing the end of life. He is increasingly agitated and distressed, unable to take oral medication. What is the most appropriate anticipatory prescribing approach?

Accepted Answer

Prescribe subcutaneous opioids, antiemetics, anxiolytics and antimuscarinics as needed via syringe driver

Answer

Do not prescribe anything until symptoms appear

Answer

Continue only oral medications

Answer

Prescribe antibiotics to prevent infection

Answer

Arrange immediate hospital transfer for all end-of-life care

Practice question

A 79-year-old man with advanced heart failure is bedbound and nearing the end of life. He is increasingly agitated and distressed, unable to take oral medication. What is the most appropriate anticipatory prescribing approach?