Under this option:

• Margaret receives education regarding risks, benefits, and uncertainties of all options

• Informed refusal is documented

• The interdisciplinary team collaborates on a patient-centered care plan

• Margaret is allowed to choose thin liquids if that’s her preference

• Margaret’s autonomy and dignity are preserved

• Her quality of life may improve

• Trust between Margaret and her care team may strengthen

• Margaret’s aspiration risk remains present, but this risk is hard to quantify

• Daniel’s staff may experience discomfort

• Daniel’s anxiety regarding liability may continue

• Sofia mandates that Margaret only have the safest documented diet

• Sofia’s staff are instructed not to provide thin liquids

• Safety remains the primary organizational priority

• Margaret’s aspiration risk may decrease, but this is hard, if not impossible, to quantify.

• Sofia’s staff may feel legally protected from adverse events

• Organizational consistency is maintained

• Margaret’s federally protected autonomy may be diminished

• Coercion may occur

• Margaret’s quality of life may decline

• Margaret’s trust with her care team may erode