Answer :
Final answer:
The decision not to initiate resuscitation is most justifiable in patients with terminal illnesses that resuscitation won't alter, those with do-not-resuscitate orders, and where post-resuscitation quality of life would be poor.
Explanation:
The decision not to begin resuscitation is most defensible for patients who have terminal illnesses where resuscitation may prolong their suffering, those with do-not-resuscitate (DNR) orders, and patients whose quality of life post-resuscitation would be significantly poor. For example, a late-stage cancer patient for whom resuscitation would not alter the course of the illness. Decisions should always respect patients' wishes and medical ethics, which stress the importance of not causing undue harm. Hence, for these patients, it is most defensible not to start resuscitation.
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