-The physician may feel legally or morally bound to treat until death is proximate (Hanson, Tulsky, & Danis, 1997). About 10% of physicians believe they must treat all patient with maximal interventions and that to limit treatment is morally and ethically unacceptable. Another larger group of physicians believes that it is inappropriate to discuss treatment limitation until the patient is certainly going to die. Unfortunately, if discussion waits until the patient is definitely dying, the patient frequently no longer has the capacity to participate in decision making about her/he end-of-life care.