Choosing Quality Over Treatment — SCE Palliative Medicine MCQ
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Correct answer: E — Choosing quality of life over treatment burden is a legitimate autonomous decision that should be respected—the palliative care team ensures she is fully informed and symptoms are optimally managed
Explanation lettering: D = shown as A · A = shown as C · C = shown as D
A capacitated patient’s decision to decline further oncological treatment in order to focus on quality of life is fully autonomous and must be respected, in line with NICE guidance on shared decision‑making (NG197) and end‑of‑life care (QS13). The palliative care team’s role is to ensure she is informed about prognosis and options, confirm absence of remediable factors (e.g., untreated depression), and deliver optimal symptom and holistic support. Options A and B are incorrect because palliative care does not equate refusal of care or coercion. Option C wrongly assumes depression invalidates the preference, though mood assessment is prudent. Option D is ageist and ignores the primacy of capacity and personal values.
Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/cancer/palliative-care