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NICE QS144 End-of-Life Quality Standard — SCE Palliative Medicine MCQ

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HardCommunication & EthicsNICE QS144 End-of-Life Quality StandardSCE Palliative Medicine

A dying patient’s family request a standard pathway, but the patient has distinct cultural priorities and fluctuating symptoms. What principle should govern the plan?

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

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Correct answer: AUse an individualised plan, reviewed as needs and preferences change

Explanation lettering: C = shown as B · E = shown as C · B = shown as E

A is correct. NICE requires individualised care that responds to changing physical, psychological, social, spiritual and cultural needs and documented preferences. B and E make a pathway insufficiently responsive, C gives relatives’ views precedence over the patient’s own needs and preferences, and D treats one recorded preference as the whole plan despite changing circumstances.

Reference: NICE QS144: individualised care: https://www.nice.org.uk/guidance/qs144/chapter/Quality-statement-2-Individualised-care