Geriatric Quick Consult      Decision-making Capacity      Do #5

Recognize patient autonomy and freedom of choice

Knowledge

Action

Patients have the right to control what happens to their bodies. In some cases, informed patients with adequate decision-making capacity will make choices that the physician thinks foolish, dangerous or does not agree with. Physicians may try to change the patient's mind but are ultimately obliged to respect and honor such decisions. Make sure family members know about any decisions that are made, and about any concerns that you may have. If the physician disagrees with the final decision, and feels uncomfortable with the situation, the physician may excuse himself or herself from the case.

Your patient has the right to make decisions about his/her body. Be sure that family members are aware of these decisions and your medical opinion about them. Ultimately, if you disagree with a patient's choice, you may remove yourself from the case.