Why might a patient with metastatic lung cancer request not to be "hooked up to any machines"?

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A patient with metastatic lung cancer may request not to be "hooked up to any machines" primarily due to a preference for comfort-focused palliative care. This approach emphasizes quality of life and symptom management rather than aggressive treatments that may prolong life but can cause additional suffering. Individuals in advanced stages of cancer often wish to avoid the possible invasive nature of machines such as ventilators or monitors, which can contribute to a feeling of being overwhelmed or dehumanized.

Choosing comfort-focused care allows the patient to spend their time in a more dignified manner, surrounded by loved ones rather than in a clinical, high-tech environment, thus aligning with their values and wishes for end-of-life care. This preference underscores the importance of shared decision-making in healthcare, where patients' choices and goals significantly influence care plans.

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