End-of-Life Care and the Right to Exit · 6 of 9

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The Capacity and Coercion Protocol

Depression, delirium, pain, medication, dementia, family pressure and money complicate the operator-narrator distinction at the bedside. The chapter does not become a clinical protocol. It installs six questions any honest reading must run.

Is the corridor truly non-widenable, or is a widenable corridor being read as closed because level one was withheld? If the closing is the structure’s failure, the response is not exit. It is supplying what was withheld.

Is the decision stable across time, or the registration of an acute state that will pass? A reading in acute pain or fear that contradicts the longer record is the narrator’s registration of a moment, not the operator’s reading of the closing.

Is pain or fear narrowing the narrator in a way that support would reverse? The floor is supplied first. If the reading holds after, it is the operator’s. If the floor was never supplied, the reading is not yet readable.

Is external pressure shaping the reading? A family that has signalled burden. Money that has made accommodation unavailable. A ward whose economics reward short stays. The pressure is read and reduced before the reading is treated as the operator’s own.

Does the decision match the long-record pattern of how this person has read closings across their life? Alignment raises confidence. Reversal must be readable as the operator’s revision, not the narrator’s registration of pressure or eroded support. The record is not authority over the present person. It is information the present reading must engage.

Has the structure supplied the floor before treating the request as final? If not, its debt is discharged first.

The six questions do not produce a verdict. The operator does. The questions make sure the verdict is the operator’s own. A team that runs them honestly is doing the work. One that skips them, or runs them as ratification, is not.

This is the short edition of Ø Applications — a summary. Where a step is compressed here, the original carries it in full. The original book (PDF) · This edition (PDF)

The same page on the420code.org: the420code.org/models/applications/09-end-of-life-care-and-the-right-to-exit/