title: Refusal: deciding to pull the tube.
abstract: A senior medical student grapples with her patient's end-of-life decisions, which are in stark contrast to the decisions made by her own grandfather facing a similar disease. As she explores her role and responsibility to her patient, she considers what it means to provide futile care and how to negotiate her own beliefs with the demands of her patient's family.
authors.affiliation: Department of Family Medicine, University of Wisconsin, Appleton, WI, USA. Jennifer.frank@fammed.wisc.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Frank
mesh_terms: D000368:Aged; D001293:Attitude to Death; D002641:Chicago; D003704:Dementia / Q000150:complications; D006801:Humans; D008175:Lung Neoplasms / Q000523:psychology / Q000628:therapy; D018447:Medical Futility / Q000941:ethics* / Q000523:psychology*; D057240:Patient Preference; D011368:Professional-Family Relations / Q000941:ethics; D013337:Students, Medical / Q000523:psychology*; D013727:Terminal Care / Q000941:ethics* / Q000523:psychology*