In which of the following situations would the care team be most likely justified in superseding the desires of the older adult client in question?
A) Mrs. J persists in smoking cigarettes despite her emphysema and dependence on oxygen by nasal prongs.
B) Mr. L is adamantly opposed to placement in a care facility, despite his progressing dementia and tendency to leave his stove turned on.
C) Mrs. B, though denying suicidal ideation, is depressed and has cloistered herself in her apartment for many months.
D) Mr. E, despite his family's wishes, does not want any treatment for his recently diagnosed brain tumor.
B
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Desires of clients may be superseded by professional judgment in actual or suspected cases of mental incompetence, of which dementia may be an example. Answers A, C, and D are examples of situations where the desires of older adults, though likely detrimental, would ultimately be respected.
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