Case Study – Barney Says No

Case Study – Barney Says No
Determining the Appropriate Surrogate and the Goals of Care

Almeda has lost decisional capacity and left no advance directive. She’s on on a ventilator and fed with a gastric feeding tube.

With no family, Barney, her longtime friend, has been her unofficial substitute decision maker.

Should her treatment plan be moved to comfort care only? Who gets to decide?