A 74-year-old woman with advanced dementia is unable to make decisions and has no advance care directive. Her husband is the recognised substitute decision-maker under the relevant state legislation. She develops aspiration pneumonia, and the team is considering hospital transfer and intravenous antibiotics. The husband requests treatment focused on comfort because this matches her previously expressed values. Which principle should guide the decision?
Keep going — a set of ten like this one, one at a time.
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