A 79-year-old man with advanced heart failure and dementia is admitted with pneumonia. He has no prior documented goals of care. Which is the most app...

Question

A 79-year-old man with advanced heart failure and dementia is admitted with pneumonia. He has no prior documented goals of care. Which is the most appropriate first step in advance care planning?

Accepted Answer

Discuss goals of care with the patient (if capable) and his substitute decision-maker, exploring values and preferences

Answer

Assume he wants full resuscitation

Answer

Focus only on antibiotic choice

Answer

Wait until he deteriorates before discussing resuscitation

Answer

Write a do-not-resuscitate order without discussion

Advance care planning — MCCQE Part 1 MCQ

A 79-year-old man with advanced heart failure and dementia is admitted with pneumonia. He has no prior documented goals of care. Which is the most appropriate first step in advance care planning?