Question

A 78-year-old man with dementia and atrial fibrillation is admitted with pneumonia. He lacks capacity to understand or retain information about his treatment due to advanced cognitive impairment. You believe he would benefit from IV antibiotics. There is no lasting power of attorney in place and no advance decision. What is the most appropriate course of action?

Accepted Answer

Make a best interests decision after consulting those close to him and the multidisciplinary team

Answer

Treat without further discussion as he lacks capacity

Answer

Ask his nearest relative to sign a consent form authorising treatment

Answer

Apply to the Court of Protection urgently before giving antibiotics

Answer

Withhold antibiotics because valid consent cannot be obtained

Practice question