You are attending Mr. Larson’s care conference, along with all members of the IDT team. Mr. Larson’s health has been declining, and he has had a significant weight loss. His meal intake is 0-10%. His son and daughter-in-law, who are his healthcare power of attorneys, insist that Mr. Larson is started on a tube feeding to keep him alive. Mr. Larson has an advance directive that states he doesn't want to be intubated or given nutrition via a tube. He is DNR/DNI.
1. Would it be unethical for the RDN to recommend a tube feeding for Mr. Larson?