Navigating Family Conflict at End-of-Life

Scenario

A DNR patient is in visible distress. The family demands “do everything possible,” contradicting the signed advance directive.

Best Practice Answer

1. Acknowledge emotions: “I can see this is very hard. Let’s review your loved one’s wishes.”
2. Clarify and uphold patient autonomy: Explain DNR and comfort-focused care.
3. Engage the team: Notify provider and palliative care for family meeting.
4. Provide alternatives: Oxygen, morphine, positioning — align care with comfort.
5. Document: Record discussion, participants, and care decisions.

Interview Tip: Evaluators look for empathy, communication, and advocacy — not policy recitation alone.