A 86-year-old woman with severe frailty (CFS 7) and end-stage COPD is admitted with pneumonia. Despite treatment, she continues to deteriorate. The me...

Question

A 86-year-old woman with severe frailty (CFS 7) and end-stage COPD is admitted with pneumonia. Despite treatment, she continues to deteriorate. The medical team believes she is dying. She has no advance care plan. Her family is present. According to NICE NG31, what are the FIVE priorities of care for the dying person?

Accepted Answer

Recognise the possibility of dying, communicate sensitively, involve the patient and family in decisions, address individual needs, and create an individualised plan of care

Answer

Escalate all treatments to maximum, transfer to ICU, and continue full resuscitation

Answer

Focus exclusively on pharmacological management

Answer

Withdraw all medications and fluids immediately

Answer

Transfer to a hospice immediately regardless of patient or family wishes

uk-dgm MCQ (SBA): Five Priorities of Care for the Dying Person