Question

A 79‑year‑old woman with moderate Alzheimer dementia is admitted with pneumonia. She lacks capacity to understand treatment decisions. There is no appointed enduring guardian. What is the most appropriate approach to decision‑making about her care?

Accepted Answer

Consult the hierarchy of substitute decision‑makers (e.g. spouse or children) and discuss goals of care in line with local legislation

Answer

Proceed with treatment decisions based solely on the doctor's opinion without consultation

Answer

Ask the nursing staff to decide

Answer

Automatically withhold all life‑prolonging treatment

Answer

Ask the hospital administrator to sign consent

Practice question

A 79‑year‑old woman with moderate Alzheimer dementia is admitted with pneumonia. She lacks capacity to understand treatment decisions. There is no appointed enduring guardian. What is the most appropriate approach to decision‑making about her care?