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Deprescribing near end of life — DGM MCQ

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EasyEnd-of-life careDeprescribing near end of lifeDGM

A 93-year-old woman with advanced dementia is recognised as dying and can no longer swallow safely. Her family want comfort-focused care. She has no recent acute coronary syndrome. Current medicines include atorvastatin, morphine solution and hyoscine butylbromide as needed. Which medication should be reviewed?

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Correct answer: C — Atorvastatin

A statin for long-term prevention should be reviewed when a patient is dying and cannot swallow. Morphine, hyoscine, mouth care and breakthrough analgesia address current comfort needs. Medication review near end of life should prioritise immediate symptom benefit.

Reference: NICE NG31; NICE NG56