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End of life care: Reviewing decisions

78. A patient’s condition may improve unexpectedly, or may not progress as anticipated, or their views about the benefits, burdens and risks of treatment may change over time. You should make sure that there are clear arrangements in place to review decisions. New decisions about starting or continuing with a treatment may be needed in the light of changes in the patient’s condition and circumstances, and it may be necessary to seek a second opinion or, if this is not possible, advice from an experienced colleague.