A 78-year-old man with advanced pancreatic cancer and an estimated life expectancy of 2 months tells his physician he wants to stop all treatment, including IV fluids and nutrition. His adult children disagree and want aggressive treatment continued. The patient has decision-making capacity. Which of the following is the most appropriate action?

  1. A)Obtain a psychiatric evaluation before honoring the request
  2. B)Consult the ethics committee to override the patient's decision
  3. C)Honor the patient's wishes and discontinue treatmentGABARITO
  4. D)Transfer the patient to hospice against the family's wishes without further discussion
  5. E)Continue treatment per the family's request until a court hearing

Explicação

A competent adult patient with decision-making capacity has the right to refuse any medical treatment, including life-sustaining interventions. Autonomy is the paramount principle when the patient is capable of making informed decisions. USMLE favorite: compet... Ver explicação completa e trilha adaptativa →

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