One of the basic fundamental rights of patients is the autarchy to decline medical treatment. An important feature of medical ethics is the right to decline and honour the wishes of the patients. Even though advanced decisions are not immutable and can or may be negotiated by family members or any loved ones as decision makers. Author describes a case that highlights the significance of advanced care planning, complexity of decision making, and area for potential improvements in clinical field.
Mrs. Smith, whose named has been changed for privacy purposes, was an elderly woman, well into her 80s, with diabetes, hypertension, hyperlipidemia, peripheral vascular disease, heart failure, and chronic obstructive pulmonary disease. She was my clinic patient and has been followed for many years in our resident practice. Her daughter always brought her to her appointments, and waited politely in the waiting room while her mom saw the doctor.