A 79-year-old woman with advanced heart failure and chronic kidney disease is bedbound and increasingly dyspnoeic at rest. She has expressed a wish to...

Question

A 79-year-old woman with advanced heart failure and chronic kidney disease is bedbound and increasingly dyspnoeic at rest. She has expressed a wish to die at home and has a DNACPR order. Which of the following best reflects an appropriate focus of care now?

Accepted Answer

Shift towards anticipatory prescribing for symptom control, advance care planning and family support in the community

Answer

Escalate to intensive care for inotropes and ventilation

Answer

Continue all disease-modifying drugs and add high-dose IV loop diuretics

Answer

Stop all medications immediately and discharge without follow-up

Answer

Refer to surgery to consider ventricular assist device

uk-plab-1 MCQ (SBA): End-of-life care goals and anticipatory prescribing

A 79-year-old woman with advanced heart failure and chronic kidney disease is bedbound and increasingly dyspnoeic at rest. She has expressed a wish to die at home and has a DNACPR order. Which of the following best reflects an appropriate focus of care now?