8th July 2024

You are called by the ward manager to review a 92-year-old patient. She was admitted last night

You are called by the ward manager to review a 92-year-old patient. She was admitted last night after a fall and is being treated with antibiotics for aspiration pneumonia. CT head shows a right subdural hematoma with midline shift. The patient has been verbally unresponsive since admission. There have been discussions with the family about ward based ceilings of care. A do not resuscitate order is in place.  The family are now enquiring about transferring to the local renal unit for haemodialysis.

Observations:

What is the next most appropriate discussion with the patient’s family?

Select the SINGLE most appropriate option from the list below. Select ONE option only.