A 78-year-old patient with advanced dementia and recurrent aspiration pneumonia is admitted to the hospital. Her family insists on full aggressive medical treatment, including intubation and mechanical ventilation if necessary, despite previous discussions about goals of care and her advance directive stating 'no artificial life support.' The patient lacks decision-making capacity. What is the most appropriate next step for the healthcare team?
✓ Correct Answer: Option D
When there is a conflict between a patient's clear advance directive and the wishes of the surrogate decision-makers, and the patient lacks capacity, an ethics committee consultation is the most appropriate step. They can help mediate, clarify ethical principles, and offer an unbiased recommendation.