A 76-year-old man is admitted with a suspected stroke. He has a dense right hemiplegia and global aphasia. He cannot communicate verbally or with gest...

Question

A 76-year-old man is admitted with a suspected stroke. He has a dense right hemiplegia and global aphasia. He cannot communicate verbally or with gestures. He has no advance decision and no LPA. The team needs to decide whether to proceed with thrombolysis. He is within the treatment window. Under the MCA 2005, what is the correct approach?

Accepted Answer

Proceed with thrombolysis in his best interests under Section 4 of the MCA 2005, documenting the decision and rationale

Answer

Withhold thrombolysis as he cannot consent

Answer

Wait until a family member arrives to give consent

Answer

Contact the Court of Protection for an urgent ruling

Answer

Apply the Mental Health Act 1983 to authorise treatment

uk-dgm MCQ (SBA): Emergency Best Interests Decision - Thrombolysis