Question

A 68-year-old female has breathlessness, poor health status and multiple metastases. She is awake and anxious. Doctors believe aggressive chemotherapy, radiotherapy and ICU admission will not help, but her daughter insists on trying everything. How should the doctor handle this scenario?

• A. Convene to family members and consider the patient's needs
• B. Shift to ICU and start aggressive treatment
• C. Discharge the patient and shift to palliative care
• D. Give placebo care to relieve anxiety

Hint:

In end-of-life care, communicate clearly, consider patient autonomy and avoid futile aggressive treatment.

Answer 1

The Correct Option is A

Concept: In end-of-life care, patient autonomy, best interests, communication with family and shared decision-making are important.

Step 1: Assess patient status.
The patient is awake and anxious, so her preferences and comfort should be considered.

Step 2: Avoid futile aggressive care.
If doctors believe aggressive therapy will not benefit, it should not be started merely due to family pressure.

Step 3: Choose ethical response.
The best approach is to convene family discussion and consider the patient's needs.