Advance care planning in advanced heart failure — SCE Geriatric Medicine MCQ
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Correct answer: B — Undertake a comprehensive falls assessment before agreeing a tailored management plan
Explanation lettering: C = shown as A · A = shown as C · E = shown as D · D = shown as E
B is correct: inability to get up independently after a fall is one of the NG249 triggers for comprehensive falls assessment and tailored management, as are frailty, injury, loss of consciousness and recurrent falls. A generic leaflet does not address medication, cardiovascular, gait, vision, continence, feet, environment or fear-of-falling contributors. Prediction scores are not recommended. Bone health is important but cannot substitute for assessment of why she fell or why she could not recover from the floor.
Reference: NICE NG249: Falls assessment and prevention: https://www.nice.org.uk/guidance/ng249/chapter/Recommendations/