A patient with an unresectable carotid-encasing head-and-neck tumour has had two small sentinel bleeds. He understands that a future haemorrhage may

Question

A patient with an unresectable carotid-encasing head-and-neck tumour has had two small sentinel bleeds. He understands that a future haemorrhage may be rapidly fatal and chooses comfort-focused care at home. Which anticipatory plan is most appropriate?

Accepted Answer

Document and share the plan, provide dark towels and emergency contacts, and prescribe rapidly acting midazolam by a feasible non-SC route

Answer

Plan immediate transfer during any bleed and keep the possibility from family to limit anticipatory distress

Answer

Prescribe tranexamic acid alone and omit an emergency communication plan unless another sentinel bleed occurs

Answer

Advise relatives to use white towels so that the volume of blood can be estimated accurately by responders

Answer

Leave injectable subcutaneous midazolam as the sole plan because medication is more important than bedside presence

Hospice Day Services — SCE Palliative Medicine MCQ

A patient with an unresectable carotid-encasing head-and-neck tumour has had two small sentinel bleeds. He understands that a future haemorrhage may be rapidly fatal and chooses comfort-focused care at home. Which anticipatory plan is most appropriate?