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MS – Palliative Care Throughout Disease Course — SCE Neurology MCQ

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EasyMultiple Sclerosis & CNS InflammationMS – Palliative Care Throughout Disease CourseSCE Neurology

A 55-year-old woman with advanced MS (EDSS 8.5, wheelchair-bound, dependent for ADLs) and her family ask about end-of-life planning. She has no advance directive. What does NICE NG100 recommend regarding palliative care in MS?

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Correct answer: C — Palliative care should be offered early and throughout the disease course for symptom management, advance care planning, and end-of-life support — not just in the terminal phase

NICE NG100 recommends that palliative care principles should be integrated throughout the MS disease course, not reserved for the terminal phase. This includes: advance care planning (advance decisions to refuse treatment, LPA, preferred place of death), symptom management (pain, spasticity, dysphagia, breathlessness, fatigue), psychological and spiritual support, and coordination of end-of-life care. Early referral to specialist palliative care services is recommended for complex symptom management. A: Palliative care is a philosophy applicable throughout the disease. C: MS patients benefit greatly from palliative care. D: Community, hospital, and hospice palliative care all have roles. E: MDT involvement is essential.

Reference: NICE NG100 MS (2022); NICE NG142 End of Life Care