AKT-1850

AKT-1850

Mrs Rogers is an 83-year-old lady with a history of mild cognitive impairment, hypertension and type 2 diabetes mellitus. She requires carers twice daily to assist with activities of daily living.

Recently, her daughter noticed that Mrs Rogers had become jaundiced and took her to see her GP for investigation. Unfortunately, radiological imaging revealed a probable cholangiocarcinoma with multiple liver metastases. The upper gastrointestinal MDT determined that Mrs Rogers should receive best supportive care and she was referred to her local community palliative care team.

According to the Gold Standards Framework Proactive Identification Guidance, the ‘Surprise Question’ can be used to identify patients who may be approaching the end of life. Therefore, the question would be: Would you be surprised if Mrs Rogers were to pass away in the next few months?