A 78-year-old man with a CFS of 5 and multimorbidity (COPD, heart failure, type 2 diabetes, CKD 3b) presents to the GP for a routine review. He is on ...

Question

A 78-year-old man with a CFS of 5 and multimorbidity (COPD, heart failure, type 2 diabetes, CKD 3b) presents to the GP for a routine review. He is on 14 medications. NICE NG56 recommends a specific approach to managing patients with multimorbidity. Which principle BEST reflects this approach?

Accepted Answer

Adopt a patient-centred approach: establish goals and priorities, reduce treatment burden where possible, and consider discontinuing treatments of limited benefit given the individual's prognosis and preferences

Answer

Treat each condition to its individual guideline target regardless of overall burden

Answer

Apply an approach of care focused on individual disease guidelines but prioritise the most life-threatening condition

Answer

Refer to a geriatrician for all medication decisions

Answer

Reduce all medications by 50% simultaneously

uk-dgm MCQ (SBA): NICE NG56 - Multimorbidity Management Principles

A 78-year-old man with a CFS of 5 and multimorbidity (COPD, heart failure, type 2 diabetes, CKD 3b) presents to the GP for a routine review. He is on 14 medications. NICE NG56 recommends a specific approach to managing patients with multimorbidity. Which principle BEST reflects this approach?