Question

A 68 year old man with advanced heart failure is deteriorating despite maximal therapy. He is breathless at rest and expresses a wish to die at home if possible. What is the most appropriate action?

Accepted Answer

Discuss advance care planning and coordinate with community palliative care services

Answer

Avoid discussing prognosis to maintain hope

Answer

Tell him this is impossible and all deaths must occur in hospital

Answer

Immediately withdraw all treatment

Answer

Refuse to involve community teams until a DNACPR form is signed

Practice question

A 68 year old man with advanced heart failure is deteriorating despite maximal therapy. He is breathless at rest and expresses a wish to die at home if possible. What is the most appropriate action?