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Physical Changes After Death — SCE Palliative Medicine MCQ

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HardEnd of Life CarePhysical Changes After DeathSCE Palliative Medicine

Immediately after an expected death, the jaw relaxes, a small amount of fluid escapes from the mouth and brief muscle movements occur. The family fear that the patient is still suffering. What explanation is most accurate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: BVerify death, explain the normal changes and offer family time with the body

Explanation lettering: D = shown as A · A = shown as B · E = shown as D · B = shown as E

A is correct. Relaxation, fluid release, pallor, cooling and occasional brief involuntary movements can occur around or after death and do not imply conscious suffering. The clinician still verifies death using the required local procedure, explains what relatives may see and supports their choice about spending time with the body. These signs alone neither establish resuscitation, opioid causation nor mandatory coroner referral; referral depends on the full circumstances and statutory criteria.

Reference: NICE NG31 care of dying adults recommendations: https://www.nice.org.uk/guidance/ng31/chapter/recommendations