EFFECT Prognostic Communication Framework — SCE Palliative Medicine MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: A — Explore his information preferences, discuss uncertainty with scenarios and revisit prognosis as his condition changes
Heart-failure trajectories are uncertain, but uncertainty should be communicated rather than used to avoid discussion. Establish what the person wants to know, give honest individualised information using scenarios or ranges, respond to emotion and revisit the discussion as the condition changes. Prognostic scores should not determine access to palliative care.
Reference: NICE NG106: Chronic heart failure in adults. https://www.nice.org.uk/guidance/ng106/chapter/recommendations