Three Levels of Advance Care Planning — SCE Palliative Medicine MCQ

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ModerateCommunication & EthicsThree Levels of Advance Care PlanningSCE Palliative Medicine

A palliative care consultant is asked to give a talk on Advance Care Planning (ACP). She distinguishes between three levels of ACP. What are they?

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

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Correct answer: B — Level 1 as the preferred next step

Option B accurately describes the three‑tier structure widely taught in UK palliative care: Level 1 involves discussion of values and general wishes; Level 2 entails documentation of specific preferences like preferred place of care or treatment escalation plans; and Level 3 comprises legally binding mechanisms — Advance Decision to Refuse Treatment (ADRT) and Lasting Power of Attorney (LPA) — carrying increasing legal authority. Option D is unrelated; Option A mixes ACP with pain management ladder incorrectly; Option E is too narrow, ignoring preparatory and directive stages; Option C is incorrect, as ACP does follow structured progression.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/cancer/palliative-care