skip to main content

End-of-Life Dyspnoea Management — RACP Adult Medicine MCQ

Instant feedback + full explanation. One question, done properly.

EasyGeriatric MedicineEnd-of-Life Dyspnoea ManagementRACP Adult Medicine

A 72-year-old woman with advanced dementia in residential care develops pneumonia. Her advance care plan specifies comfort measures only. She has increasing respiratory distress and appears uncomfortable. What is the most appropriate symptom management?

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

Reveal the answer and explanation

Correct answer: D — Intubation if deteriorates

In a patient with advanced dementia and comfort-focused care, managing the symptom of dyspnoea is the priority. Low-dose opioids (subcutaneous morphine 1–2.5 mg every 4 hours PRN, or a continuous infusion) are the most effective agents for managing the distress associated with dyspnoea in end-of-life care. They reduce respiratory drive perception without significantly hastening death at appropriate palliative doses. Supplemental oxygen may provide comfort if tolerated. Gentle suctioning may help if secretions are present.

Reference: Palliative Care Australia – 2023 – Guidelines for a Palliative Approach in Residential Aged Care; eTG – 2025 – Palliative Care