Advance Care Planning — SCE Medical Oncology MCQ
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Correct answer: B — A valid and applicable ADRT meeting the formalities for refusing life-sustaining treatment
An advance decision to refuse treatment can be legally binding when it is valid and applicable. Refusal of life-sustaining treatment has additional formal requirements: it must be written, signed and witnessed and explicitly apply even if life is at risk. An advance statement informs best-interests decisions but is not itself binding; DNACPR concerns CPR rather than all ceilings of treatment, and relatives cannot replace a capacitous person’s decision without the relevant legal authority.
Reference: NICE NG108 decision-making and mental capacity (Published October 2018): https://www.nice.org.uk/guidance/NG108/chapter/recommendations