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Palliative care in advanced COPD — DGM MCQ

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HardEnd-of-life carePalliative care in advanced COPDDGM

An 84-year-old man with end-stage COPD has severe breathlessness despite optimised inhalers and oxygen assessment. He has panic during exacerbations, two admissions in 6 weeks and wants to remain at home. His wife is struggling to cope. What is the most appropriate referral?

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Correct answer: E — Community palliative care team

Refractory breathlessness, repeated admissions and a preference to remain at home support referral to community palliative care. Palliative care can run alongside active respiratory treatment. Breathlessness management includes psychological, carer and crisis-planning support.

Reference: NICE NG31; NICE NG115