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Advance care planning dementia — DGM MCQ

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HardDementiaAdvance care planning dementiaDGM

An 80-year-old woman has early Alzheimer's disease and asks how to plan future care. She currently understands her diagnosis and can discuss treatment preferences. Her son attends with her permission. Current medicines include donepezil and amlodipine. What is the most appropriate management?

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Correct answer: B — Discuss advance care planning and lasting power of attorney while she has capacity

Early dementia is an appropriate time to discuss advance care planning and LPA while the person has capacity. Waiting until capacity is lost, asking relatives to decide without authority, avoiding discussion and DoLS paperwork are not appropriate. Planning early preserves autonomy.

Reference: NICE NG97; Mental Capacity Act 2005