Which treatments are prohibited under Comfort-Focused Treatment?

• A. Non-invasive ventilation is never permitted under Comfort-Focused Treatment.
• B. Invasive mechanical ventilation and treatments listed in Full and Selective Treatment unless consistent with comfort goals.
• C. All medical interventions are prohibited unless they support comfort goals.
• D. Only comfort measures with no therapeutic drugs are allowed.

Answer: (B)

Comfort-Focused Treatment centers on relieving suffering and preserving quality of life. Invasive life-sustaining measures, like mechanical ventilation, add significant burden and are generally avoided unless there is a clear goal that they contribute to comfort. The rule allows any therapies from the Full or Selective Treatment lists only if they align with the stated comfort goals. In other words, you don’t automatically rule in all aggressive interventions, but you evaluate whether offering them would actually enhance comfort. Non-invasive supports or symptom-relief meds are acceptable when they help achieve comfort, while purely life-prolonging or burdensome procedures without a comfort rationale are not pursued.