Abstract
OBJECTIVES: Patients' involvement in the decision-making process is essential for shared decision-making and optimal patient-centered care. However, when there are concerns about a patient's cognition and judgmen, the complexity of providing patient-centered care increases. It is often necessary to evaluate patients' decision-making capacity (DMC) to determine whether they are able to make a particular decision or whether to rely on their previously expressed wishes or the patient's caregivers. METHODS: In this article, we present a case of an older adult with colon cancer who presented to the emergency room. RESULTS: We describe how multidisciplinary care can enhance the evaluation of DMC and improve quality of care for older patients with advanced cancer. SIGNIFICANCE OF RESULTS: Multidisciplinary discussions and good communication skills are essential for navigating these complex situations, reducing potential harm and maximizimizing quality of life.