Question

A 78-year-old woman with atrial fibrillation, hypertension and diabetes is reviewed in clinic. According to CHA₂DS₂-VASc, her score is 5. She has previously declined anticoagulation. How should you approach this discussion ethically and clinically?

Accepted Answer

Explain risks and benefits in understandable terms, check understanding and support shared decision-making, documenting the discussion

Answer

Respect her decision without further discussion

Answer

Coerce her by saying you will remove her from the practice list

Answer

Start anticoagulation without informing her

Answer

Ignore guidelines and focus only on her preference

Practice question

A 78-year-old woman with atrial fibrillation, hypertension and diabetes is reviewed in clinic. According to CHA₂DS₂-VASc, her score is 5. She has previously declined anticoagulation. How should you approach this discussion ethically and clinically?