title: Commentary: Cultural Issues in Decisionmaking.
abstract: This case presents several fundamental ethical issues. The first issue is the patient's refusal of treatment (a nasogastric tube [NGT] insertion). Second, the patient's refusal of a seemingly beneficial treatment, combined with her medical history, ultimately necessitates an assessment of her decisionmaking capacity. Third, the sister's reluctance to participate in decisionmaking requires a discussion of appropriate surrogate decisionmakers. Finally, the main ethical component to this case is a cultural one, which should be addressed appropriately.
authors.forename: Ruaim
authors.initials: R
authors.lastname: Muaygil
mesh_terms: D003657:Decision Making; D006801:Humans