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Best interests — DGM MCQ

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ModerateEthics and lawBest interestsDGM

An 89-year-old woman lacks capacity because of advanced dementia and needs treatment for a painful infected pressure ulcer. She has no health and welfare attorney. Her daughter knows she valued comfort and avoiding hospital when possible. Current medicines include donepezil stopped previously. What is the most appropriate management?

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

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Correct answer: AMake a best interests decision considering wishes and family input

When a person lacks capacity and has no authorised proxy, clinicians make a best interests decision considering past wishes, values and those close to the person. Next of kin does not automatically consent, inaction may cause harm, clinician preference alone is insufficient, and waiting may be unrealistic. Best interests is a structured process, not a paternalistic shortcut.

Reference: Mental Capacity Act 2005; NICE NG108