Physical Changes After Death — SCE Palliative Medicine MCQ
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Correct answer: B — Verify 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