Long-term care facilities should assess residents for capacity to consent to sexual activity and be prepared to accommodate sexual intimacy.

Patients with dementia need social supports and opportunities and acceptance of their disability in order to feel hopeful despite their functional decline.

Research is needed on surrogates’ susceptibility to believing that clinical trials provide individual therapeutic benefit.

Authentic partnerships with people with dementia motivate full social participation and resist fatalism around experiences of illness.

Some treatments of childhood cancer can cause infertility in adulthood. What should be the roles of physicians in helping parents decide whether, when, and what their child is told about this risk?

Decision-making capacity can be preserved in patients with mental illness and should be formally assessed in the context of their values and past decisions.

Gender-concordant care requests involve principles of beneficence, respect, and fairness and, when they occur on rotations, require a team-based approach.

When colleagues request treatment that is not medically indicated, clinicians should show empathy and respect without compromising judgment.

Follow simple rules, such as checking whether patients comprehend what they’ve been told, to help patients overcome barriers posed by clinical jargon.

In referring transgender patients for medical transition, clinicians should be guided by harm reduction, respect for autonomy, and continuity of care.