J Gerontol Nurs
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1. End of life ethical decision-making is complex and involves many key players, each with their individual roles, responsibilities, and ethical concepts. 2. ⋯ Those involved in ethical decision-making are influenced by various ethical theories as well as factors including control, legal issues, failure, coercion, obligation, advocacy, autonomy, respect, and cost. 4. Ethics committees can play a valuable role in assisting patients, families and staff through the decision-making process by providing guidelines based on ethical principles and compatible with facility mission and philosophy.