Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: In the Grand Rounds discussion of a patient's refusal of care, Dr Carrese1 describes a familiar and difficult case in which respect for patient autonomy conflicts with the principle of beneficence: an older bedbound woman, judged competent to make medical decisions, refuses nursing home care after a hospitalization, yet the medical team is concerned that she cannot receive sufficient care at home to prevent further deterioration.
Bernheim SM, Ross JS, Bradley EH. Refusal of Care by Patients. JAMA. 2006;296(24):2921–2923. doi:10.1001/jama.296.24.2921-a