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Judgment & ambiguity · When to escalate

A family insists on continuing aggressive treatment that the care team increasingly reads as non-beneficial, and the attending is hesitant to have the goals-of-care conversation. As the person closest to the bedside, when does this stop being your call to keep managing quietly and become something you have to push up?

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The moment the daily plan is being driven by avoidance rather than by a clear goal, it's already past being mine to manage quietly.

The full answer: structure, worked example, likely follow-up.

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