Advance care planning in heart failure — DGM MCQ
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Correct answer: B — Holistic needs assessment and advance care planning discussion
The appropriate assessment is holistic, including symptoms, preferences, capacity, carer support and escalation planning. Hospice referral may be useful, but admission without discussion ignores her autonomy and needs. Advance care planning is most useful before a crisis removes choice.
Reference: NICE NG31; NICE NG142