Best-interests decisions and treatment limitation — OSCE

Objectives

1. Apply the best-interests balance of benefits against burdens to a treatment-limitation recommendation. ^[1]
2. Run an honest, structured goals-of-care conversation using a recognised framework. ^[10]
3. Avoid the error of an isolated resuscitation decision and build an overall limitation and comfort plan. ^[4]
4. Identify the escalation pathway to ethics and the courts for a genuine value dispute. ^{[1] [12]}