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Advance care planning — DGM MCQ

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HardEnd-of-life careAdvance care planningDGM

An 82-year-old man with progressive pulmonary fibrosis asks to discuss future treatment preferences. He understands his illness and wants his daughter involved. He is currently stable in clinic. Current medicines include oxygen and pirfenidone. What is the most appropriate management?

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

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Correct answer: E — Offer advance care planning discussion and document preferences

A capacitous person with progressive illness should be offered advance care planning and documentation of preferences. Delaying until incapacity, transferring decisions to family, avoiding ceilings of care and DoLS paperwork are inappropriate. Advance care planning is best done before crisis.

Reference: NICE NG31; Mental Capacity Act 2005