Abstract
Clinical ethics dilemmas often emerge at the intersection between the preferences of patients or their families and what physicians think best promotes patients’ interests. The standard ethics guidance attempts to resolve these kinds of dilemmas by means of a 3-part stepwise progression of decision-making criteria. First, when patients possess “decision-making capacity”—when their treatment preferences reflect relatively sound reasoning and an understanding of their clinical situation—they are usually permitted to select suboptimal treatments.
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