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Advance decision to refuse treatment — DGM MCQ

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HardEthics and lawAdvance decision to refuse treatmentDGM

An 88-year-old woman with severe dementia has a valid advance decision refusing hospital ventilation if she develops life-threatening pneumonia. She is now admitted with pneumonia, lacks capacity and her daughter says the document should be ignored. What is the most appropriate management?

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Correct answer: B — Respect the valid and applicable advance decision

A valid and applicable advance decision to refuse treatment is legally binding for the specified treatment and circumstances. Relatives cannot overrule it, although they can help interpret context. Advance decisions are specific, so other treatments not covered should still be considered in best interests.

Reference: Mental Capacity Act 2005; NICE NG108