Question

A 51-year-old man with metastatic pancreatic cancer has capacity and refuses further chemotherapy, wishing to focus on comfort at home. His family insist that you ‘persuade him to have everything done’. What is the most appropriate response?

Accepted Answer

Respect the patient’s autonomous decision after ensuring he is fully informed, while explaining this to the family and offering support

Answer

Ignore the patient’s wishes and follow the family’s request

Answer

Section the patient under the Mental Health Act

Answer

Tell the family you cannot discuss anything due to confidentiality

Answer

Promise the family you will change his mind

Practice question

A 51-year-old man with metastatic pancreatic cancer has capacity and refuses further chemotherapy, wishing to focus on comfort at home. His family insist that you ‘persuade him to have everything done’. What is the most appropriate response?