A 60-year-old woman who has had a number of strokes refuses further life-sustaining intervention, including artificial nutrition and hydration. She is competent, understands the consequences of her actions, is not depressed, and persists in refusing treatment. Her doctor is adamant that she cannot be allowed to proceed this way and her daughter agrees. An ethics consult has been placed. Who is the appropriate decision maker?
  1. Patient
  2. Daughter
  3. Doctor
  4. Ethics
Explanation
Answer - A - The appropriate decision maker is the patient. Because the patient is competent, she has the right to refuse therapy, even if this hastens her death.
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