Box 4.

Key questions regarding the benefits of treatment

Is clinically-assisted nutrition and hydration (CANH) necessary for adequate nutrition and hydration or can sufficient intake to cover basic needs be taken orally, albeit with difficulty?
Does the patient have capacity to decide upon the method of receiving nutrition and hydration? If not, what decision is in their best interests and in accordance with their wishes (if known)?
If CANH is necessary, what is the best method/route for giving it?
Do the benefits of treatment outweigh the burdens/risks of treatment?
What are the goals of the nutrition and hydration support, the expected duration, and the criteria for stopping?
With whom should discussions about the future management be held?
What are the key issues to discuss with the patient, relatives, carers, healthcare workers and advocates?