Transitions in relabeling personalized medicine as precision medicine, precision health, or wellness genomics reflect shifting the locus of responsibility for health from individuals to clinicians and in shifting focus from genetic risk to genetic enhancement.

Perhaps machine learning systems trained on patients’ electronic health records and social media footprints could be used as decision aids when patients lack capacity or face overwhelming decisions.

The AMA Code of Medical Ethics' opinions related to decision-making capacity and competence and surrogate decision making.

Telemedicine is fast becoming a reliable medium for convening ethics deliberations and bringing expert assistance to remote locations.

When patients cannot give informed consent or refusal for antipsychotic medication, physicians must meet specific criteria to justify temporarily withholding a diagnosis.

Elder self-neglect can be assessed with the Elder Self-Neglect Assessment (ESNA) and addressed by physicians’ partnering with patients to achieve common goals.

End-stage heart failure patients can experience depression along with their chronic illness. Multidisciplinary responses are critical.

Patients have a right to decline or withdraw LVADs. Informed consent and shared decision making is not easy, however, with treatments that are high risk, high reward.

Women with intellectual disabilities should not be sedated for a pap smear without their assent, and the test’s risks and benefits should be weighed.

Women with intellectual disabilities should not be sedated for a pap smear without their assent, and the test’s risks and benefits should be weighed.