Question

A 79-year-old man with mild dementia is admitted with pneumonia. He refuses IV antibiotics but appears to understand the situation, can repeat back the risks and benefits and expresses consistent values prioritising comfort at home. His daughter insists he lacks capacity and demands treatment. What is the most appropriate next step?

Accepted Answer

Assess and document his decision-making capacity and, if he is capable, respect his refusal

Answer

Override his wishes and treat because of family request

Answer

Automatically follow the daughter's wishes as substitute decision-maker

Answer

Seek a court order urgently in all such cases

Answer

Treat him covertly without telling him

Practice question