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Tier 3 Bereavement Support Allocation — SCE Palliative Medicine MCQ

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HardBereavementTier 3 Bereavement Support AllocationSCE Palliative Medicine

A bereaved man has several risk factors for poor outcome: sudden death, social isolation, previous depression and compounded loss. At two weeks he has no suicidal intent, psychosis or severe functional collapse. What is the best service response?

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Correct answer: BArrange proactive assessment with tailored support and scheduled review as needs evolve

Risk factors justify proactive contact, assessment and follow-up, but do not themselves diagnose prolonged grief disorder or mandate a predetermined “tier”. Support should be matched to current distress, impairment, mental-health risk and preference, with specialist psychological or psychiatric input when assessed need warrants it.

Reference: NICE NG142: End of life care for adults — service delivery. https://www.nice.org.uk/guidance/ng142/chapter/recommendations NHS: Grief after bereavement or loss. https://www.nhs.uk/mental-health/feelings-symptoms-behaviours/feelings-and-symptoms/grief-bereavement-loss/