🏥 USMLE Exam Prep

A 45-year-old fully competent patient with end-stage renal disease requires hemodialysis to survive. After understanding all risks and benefits, he unequivocally refuses dialysis, stating he prefers to die at home. His family strongly disagrees and demands that he be dialyzed. What is the most ethically appropriate action for the physician?

A Persuade the patient to accept dialysis, emphasizing family wishes.
B Obtain a court order to mandate dialysis due to family's objection.
C Respect the patient's autonomous decision and initiate palliative care.
D Transfer the patient to another facility for a second opinion.

✓ Correct Answer: Option C

A fully competent patient has the right to refuse medical treatment, even if it is life-sustaining. Respecting patient autonomy is paramount, and in this situation, palliative care should be offered to support his choice.

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