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Critique the following as a physician. The key to this case is the principle of patient autonomy. Patients have the right to make decisions on their own healthcare, even if that decision is the refusal or withdrawal of care. Since Ms. Bouvia is unable to consume enough calories to maintain herself, the nasogastric tube is considered a medical procedure. She has the right to refuse this procedure. She has been fully informed of the risks of nasogastric tube removal, including death, and the benefits of keeping it in place, and therefore has provided informed consent to its removal.
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