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Preferred place of care — DGM MCQ

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ModerateEnd-of-life carePreferred place of careDGM

An 84-year-old woman with advanced heart failure has repeated admissions and asks whether she can die at home. She has capacity and her daughter is present at her request. Symptoms are currently controlled. Current medicines include furosemide and bisoprolol. What is the most appropriate assessment?

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Correct answer: A — Explore preferences, support needs and emergency plans

Preferred place of care should be explored with capacity, support, symptom needs and contingency planning considered. Promises, avoidance, private family decision-making and undocumented unilateral decisions are poor practice. Good advance care planning is realistic and revisable.

Reference: NICE NG31; GMC end-of-life guidance