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MCQ 17: Advance Care PlanningWhen is the best time to initiate advance care planning discussions with a patient who has a lifelimiting illness?A. Only when the patient raises the topicB. In the last days of lifeC. At the time of diagnosis of a life-limiting conditionD. Only after all curative treatments have failedE. When the patient becomes too ill to communicateAnswer: At the time of diagnosis of a life-limiting conditionExplanation: Advance care planning discussions are best initiated early in the course of a life-limiting illness, ideally at the time of diagnosis. This allows patients time to consider their options, express their wishes, and make informed decisions while they have capacity. Waiting until the last days of life or when the patient is too ill to communicate limits their autonomy. It shouldn't be restricted to when patients raise the topic or after all treatments have failed, as this may be too late for meaningful planning.

