Dr. Diarmuid Quinlan:

I think it reflects the complexity of the area we are dealing with. We treat the patient but we are also closely engaged with the family. Families' views and wishes are certainly worth noting and listening to. We feel that the patient's views should take precedence. Sometimes the family's views are important to listen to and understand and to negotiate, then, with the patient about his or her preferred course of action. We deal with the entire family in their particular circumstances. That is reflected in the report. People find that on occasion different priorities take place within that family dynamic.