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End-of-life hydration — DGM MCQ

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ModerateEnd-of-life careEnd-of-life hydrationDGM

A 91-year-old man is dying from advanced cancer and has reduced oral intake. His family ask for fluids because his mouth looks dry. He is comfortable but has dry lips and mild peripheral oedema. Current medicines include anticipatory medicines prescribed. What is the most appropriate assessment?

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

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Correct answer: A — Assess symptoms and explain mouth care, with individualised discussion of clinically assisted hydration

Hydration decisions in the last days should be individualised, with attention to mouth care, comfort and possible benefits or burdens. Automatic fluids, withholding mouth care, treating dry mouth with diuretics and avoiding uncertainty are not good practice. Dry mouth often responds better to mouth care than intravenous fluids.

Reference: NICE NG31