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Holistic Care in Dying Phase — SCE Palliative Medicine MCQ

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HardEnd of Life CareHolistic Care in Dying PhaseSCE Palliative Medicine

A dying patient’s pain is controlled, but she is frightened, worried about dependants, distressed by loss of meaning and unsure what changes to expect. Which assessment best represents holistic end-of-life care?

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

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Correct answer: CAssess psychological, social, spiritual and information needs alongside ongoing physical comfort

Holistic assessment extends beyond physical symptoms to psychological, social, spiritual and information or communication needs. Spiritual distress is not synonymous with religious affiliation. Uncertainty should be acknowledged honestly, and practical family concerns should be addressed collaboratively rather than displaced from the healthcare team.

Reference: NICE NG142: End of life care for adults — service delivery. https://www.nice.org.uk/guidance/ng142/chapter/recommendations NICE NG31: Care of dying adults in the last days of life. https://www.nice.org.uk/guidance/ng31/chapter/recommendations